Make a Referral

Referrals

Refer someone for Support Services

WellHealth Services accepts referrals for individuals who may benefit from our Housing Stabilization Services (HSS) or 245D Waiver Services. Whether someone needs help finding and keeping stable housing or support with daily living and community-based care, you can securely submit their information using the form below.

We accept referrals from:
  • Case managers

  • Family members

  • Healthcare providers

  • Or the individuals themselves

Eligibility Requirements:
  • Age 18 or older

  • Enrolled in Medical Assistance (MA)

  • Experiencing housing instability or at risk of losing housing

Our team will review the referral and follow up promptly. All submissions are handled with care and in compliance with HIPAA regulations.

WELLHEALTH SERVICES

REFERRAL FORM

Eligibility (Required)

* Must be 18+ years

* Actively on Medical Assistance

* Experiencing or in danger of housing stability?

Need help completing the form?

We’re happy to assist. Call us at (952) 923-4174 or email referrals@wellhealthservices.org, and someone from our team will support you.

Prefer to Submit Offline?

You can download our referral form, fill it out, and send it to us by email.

📄 Download Referral Form PDF
📧 Email to: referrals@wellhealthservices.org

Frequently Asked Questions

Hello,

Thank you for completing the referral form.

We want you to know that your submission has been received, and our team will begin reviewing the information shortly. If we need any additional details, we’ll be sure to reach out.

At WellHealth Services, we’re committed to providing timely, compassionate, and effective support through our Housing Stabilization Services and 245D Waiver Services. We’re honored to be part of your journey or the journey of the person you referred.

If you have any immediate questions, feel free to contact us at referrals@wellhealthservices.org.

Warm regards,
The WellHealth Services Team