Welcome to the Minnesom Referral Page! We are committed to providing high-quality support and services under the 245D waiver program for individuals with disabilities and older adults. If you know someone who could benefit from our services, we invite you to refer them to us.
How to Refer Someone
Referring someone to Minnesom is simple and can make a significant difference in their life. Here’s how you can do it:
Complete the Referral Form: Fill out the referral form below with the necessary information about the individual you are referring. Please provide as much detail as possible to help us understand their needs.
Contact Us Directly: If you prefer, you can also contact us via phone or email. Our team is available to answer any questions you may have about the referral process or our services.
Share Information: Inform the individual about your referral and encourage them to reach out to us. We want them to feel comfortable and informed about the support they can receive.
Referral Form
Please fill out the following fields to submit your referral:
- Your Name:
- Your Contact Information:
- Relationship to the Individual:
- Individual’s Name:
- Individual’s Contact Information:
- Services Needed:
- Additional Information: