Referrals

Submit a referral

Family members, social workers, case managers, care providers, healthcare professionals, attorneys, and other community partners can contact us about a referral. Individuals seeking information for themselves are welcome to reach out as well.

What To Have Ready

  • Basic contact information for you and, if known, the individual
  • A description of the support being requested
  • Information about the individual's current care or benefits
  • If guardianship is involved, any existing court orders

Your information stays with us

Everything you share is confidential. We never sell or share your information, and we use it only to follow up on your referral.

Prefer To Talk?

Referral form

Fields marked with an asterisk are required. Please do not include Social Security numbers, account numbers, or other sensitive personal or financial details in this form.

Which services are you asking about?