Referral

We welcome referrals from families, case managers, healthcare providers, and community organizations. Our process is simple and supportive from start to finish.

How to Make a Referral:

1. Call us at (952) 652-7645
2. Submit our referral form online or email it to our intake team
3. Visit our office at 3001 84th Ave North, Brooklyn Park, MN 55444

Referral Form

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Referral Form
Guardian / Primary Contact (if applicable)
Case Manager Information (if applicable)
Requested Services (check all that apply)
Clear Signature