For hospitals, clinicians & community partners
A clear referral path—without putting private health information at risk.
Use this page for a general referral inquiry. Please do not enter a patient or client name, diagnosis, medical record number, discharge summary, or other protected health information.
Proposed process
Begin with fit and availability.
- 1
Send a general inquiry
Share your contact information, organization, county, and the broad type of non-medical support being considered.
- 2
Connect with the office
The office can discuss service fit, current availability, and an appropriate method for any information that is truly needed.
- 3
Coordinate the next step
With the individual or authorized representative involved, determine whether an assessment should be scheduled.
Information to discuss later
Only after fit and a safe sharing method are confirmed.
- Authorized contact and decision-maker
- Requested daily-living support and schedule
- Mobility or accessibility needs relevant to caregiver safety
- Discharge timing and other providers involved