Prodigy Referral Site

Substance

Site Please select a substance Ahwahnee Middle School Baird Middle School Bullard High School Cambridge Continuation High School Cambridge Continuation (Coalinga) Caruthers High School Caruthers Middle School Central High School (East Campus) Central High School (West Campus) Citrus Middle School Clinica Sierra Chestnut Continuation Coalinga High School Coalinga Middle School Community Day School Computech Middle School Cooper Academy DeWolf High School Diversion Program (Fresno County Probation) Duncan Polytechnical High School Easton Continuation High School Edison High School El Capitan Middle School El Puente Continuation Enterprise High School Family Wellness Center FUSD Fairmont Middle School Firebaugh High School Firebaugh Middle School Fort Miller Middle School Fowler Academy High School Fresno Community Regional Medical Center (CRMC) Fresno County Courts Fresno County Diversion Program Fowler High School Fresno High School Fulton School Gaston Middle School Glacier Point Middle School Grant Middle School Hallmark Charter Hamilton K-8 School Heartland Alternative High School Hoover High School Huron Middle School Island Community Day J.E. Young Academic Center Justin Garza High School Kerman Enterprise School Kerman High School Kerman Middle School Kings Canyon Middle School Kings Canyon High School Kingsburg Elementary Charter School Kingsburg High School Kings River High Laton High School Laton Middle School MARC High School McLane High School Mendota Continuation High School Mendota Elementary School Mendota High School Mendota Middle School Mountain View School Navelencia Middle School Oasis Alternative High School Orange Cove High School Pacific Clinics Parlier Jr. High School Parlier High School Pathways Community Day School Pershing Continuation High School Phillip J. Patiño School of Entrepreneurship Phoenix Secondary School Probation Referral Quail Lake Environmental Charter School Reedley High School Rio Del Rey Continuation High School Rio Vista Middle School Riverdale Elementary School Riverdale High School Ronald W. Reagan Elementary School Roosevelt High School San Joaquin Valley High Sanger Academy Charter School Sanger High School Sanger West High School Scandinavian Middle School Sequoia Middle School Selma High School Selma Heartland Alternative School Selma Independent School Selma Adult School Sierra High School Sunnyside High School Sutter Middle School Tehipite Middle School Tenaya Middle School Terronez Middle School Tioga Middle School Tranquility High School Tenaya Middle School Violet Heintz Education Academy Washington Academic Middle School Washington Union High School Wawona K-8 School West Fresno Middle School WUSD Alternative Education Schools Yosemite Middle School Location Not Listed

First Name

Last Name

Contact Phone Number

Sex Please select your sex Male Female Other

Date of Birth

Medi-Cal Insurance # *

Note - If you don't have a Medi-Cal Insurance #, please call Harjas at (559) 577-2831

Medi-Cal County Fresno County County Not Listed Alameda County Amador County Butte County Calaveras County Colusa County Contra Costa County Del Norte County El Dorado County Glenn County Humboldt County Imperial County Inyo County Kern County Kings County Lake County Lassen County Los Angeles County Madera County Marin County Mariposa County Mendocino County Merced County Modoc County Monterey County Napa County Merced County Nevada County Orange County Placer County Plumas County Riverside County Sacramento County San Benito County San Bernardino County San Diego County San Francisco County San Joaquin County San Luis Obispo County San Mateo County Santa Barbara County Santa Clara County Santa Cruz County Shasta County Sierra County Siskiyou County Solano County Sonoma County Stanislaus County Sutter County Tehama County Trinity County Tulare County Tuolumne County Ventura County Yolo County Yuba County

Probation Officer's Name

Probation Officer's Phone Number

Probation Officer's Email

Notes (optional)