Please note that this form is to be used only by an institution or organization seeking to refer a client.

Community members: please call (616) 742-0200 or contact us to schedule an appointment to connect with programs or services.  

Community agencies and institutions are invited to complete this referral form to refer a client to connect with us. The use of this form helps us efficiently match clients with the right person within our organization who can address their specific needs, ultimately fostering stronger connections and providing more tailored support to our clients.