Make A Referral

POETIC is an in-community aftercare program for girls (12-24) who have experienced child maltreatment, commercial sexual exploitation (CSE) or domestic minor sex trafficking (DMST).

Please use this form when referring a girl from Dallas County Juvenile Department. Any probation officer and/or therapist from the county is able to make a referral to POETIC. If you or your agency is interested in making a referral, please email:

Once submitted, you will receive a response within 48 hours. If youth is accepted, please email the following to

Previous psychological evaluation(s) (PSAS)

Probation report

Educational records

Discharge Summary


Referral Questions

Referral Questions
First Name
Last Name
Address 1
Address 2
City, State, Zip
First Name
Last Name