Refer Someone

Help someone find their next step.

Family members, neighbors, faith leaders, and professionals connect people to ICADRC every day. One call, one short form, and we take it from there.

For urgent referrals, please call. The online form below is best for non-urgent situations. We respond to all referrals as soon as we can.

What Happens Next

After you refer, here is what we do.

1

We reach out as soon as we can.

An ICADRC team member contacts the person directly. If they are hard to reach, we keep trying.

2

We listen first.

A short conversation to understand the situation. No qualifying questions before we listen. We just talk.

3

We connect them to what they need.

Programs they qualify for, partner organizations that can help, in-person appointments if it helps. We walk through the first step with them.

4

We follow up.

We check in to make sure the connection landed. We are your one phone number going forward.

Send a referral

ICADRC Referral Form

Fill in what you know. Required fields are marked *. We respond as soon as we can.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

About you

MM slash DD slash YYYY
Your relationship to this person

About the person you are referring

MM slash DD slash YYYY
Language
Preferred way to be contacted

Legal decision maker or power of attorney

Not applicable
How urgent is this?

What kind of help are they looking for?

Services needed
Verbal consent confirmed*

Submitted information is stored in a secure electronic database. Your information will not be shared without your permission unless authorized by law. Questions? Call (760) 332-3213.

For urgent situations, call directly.

If you are worried something cannot wait, call us. A real person, during business hours, with partner agencies on call after hours.

Monday through Friday, 8:30 AM – 5:30 PM