To refer a child or adolescent to any of our programs, please complete the BPCC Referral form.
Download and print the form, complete it, and return it to us one of these ways:
- fax it to (205) 348-9368
- mail it to
Brewer-Porch Children’s Center
Box 870156
University of Alabama
Tuscaloosa, AL 35487-0156
If you have any questions while completing the form, contact our main office at (205) 348-7236. The receptionist will direct you to the best person to answer your questions.