Refer A Survivor

To refer a client, please email refer@ptvla.org.

Attorneys

If you are an attorney and would like to refer a client, please download and fill out the the attorney referral form and email it to our Program team at refer@ptvla.org or  fax it to PTV at 213-465-4843.

Attorney Referral Form

Community Organizations

If you are a community organization and would like to refer a client, please download and fill out the community referral form and email it to our Program team at refer@ptvla.org or  fax it to PTV at 213-465-4843.

Community Referral Form

The Program for Torture Victims (PTV) reviews all referrals to determine client eligibility for our program; please note that a referral does not  guarantee services. PTV retains their right to determine eligibility for our program from among received referrals, within the limits of its mission, resources, contractual or legal obligations, and capacities. People in need of services who do not meet PTV’s eligibility criteria or who do not fit within the scope of PTV’s offered services will be referred to another organization. PTV determines client eligibility by following the definition of torture according to 18 U.S.C. 2340 (1) and as cited in the Torture Relief Act of 1998 (TVRA).

For any questions about services or eligibility requirements, please contact Carol Gomez, Clinical Director, by phone at (213) 384-4788 ext. 254 or by email at cgomez@ptvla.org.