Housing Referral form

 The Referral form is a tool used by family members and service providers to refer clients (typically age 55 and over) who are in need of safe, stable, and affordable housing options through our agency. By submitting a referral, you are initiating the first step in our intake process.  This helps us to better service the client's current living situation and needs.  Once we receive a completed referral, our office administrator will contact the referring provider or the client directly to schedule an assessment to begin the eligibility review process. Your application will be processed in the order in which it was received.  Please allow 24 hours for a call back.   For questions about the referral process or to follow up on a submitted application, please contact Karen Lowe at 945-225-7898.