Refer a Client

Submit a referral for home and community-based services. We accept referrals from SSAs, case managers, families, and self-referrals.

Referral Information

Who Can Refer?

SSAs, case managers, families, guardians, and individuals can submit referrals for services.

What You'll Need

Client name, county, desired service, your contact information, and any relevant notes.

Response Time

Our team reviews referrals within 1-2 business days and will follow up directly.

Confidentiality

All referral information is handled securely and in compliance with privacy requirements.

Important

Please do not include Protected Health Information (PHI) in the notes field. Our team will collect necessary clinical details through secure intake processes.

Submit a Referral

Attach Document (optional — PDF or Word, max 10MB)
Your information is secure. All referrals are handled in compliance with privacy requirements.