Submit a Housing Referral | Devine Living Solutions

Who May Submit a Referral?

Referrals may come from professional organizations, families, or individuals.

Hospitals

Case Managers

Social Workers

Mental Health Providers

Veterans Organizations

Home Health Agencies

Rehabilitation Facilities

Family Members

Self-Referrals

Important Care-Level Information

Devine Living Solutions is a non-medical group home. We serve adults whose needs fall within a low to moderate level of care.

We do not provide 24-hour skilled nursing, emergency medical supervision, or continuous medical care.

Referral Information

Complete the form below. When you select Create Referral Email, your email application will open with the referral details addressed to info@devinelivingsolutions.com.

Please do not include full medical records, Social Security numbers, banking information, or other highly sensitive information in this form.

Referrer Information

Your full name *

Organization

Phone number *

Email address *

Relationship to prospective resident

Referral source *

Prospective Resident Information

Resident name *

Age

Current city *

Current state *

Population served *

Desired move-in date

Placement requested

Funding or payment source

Mobility status

Estimated care level

Housing and support needs

Safety or behavioral considerations

Additional information

I confirm that I have permission to share this information for housing-referral and placement-review purposes.

Submit Supporting Information by Email

You may also email referral information or supporting documents to:

info@devinelivingsolutions.com

Please avoid sending highly sensitive personal or medical information unless you are using an appropriately secure method approved by your organization.

Start a Referral Email