Submit a Referral

Connecting Individuals to the Support They Need

At DCI Support Services, we work closely with healthcare professionals, case managers, social workers, community organizations, caregivers, and families to connect individuals with the services that can make a meaningful difference in their lives.

Whether someone needs supportive housing, transportation services, or clinical care, our team is committed to providing timely, compassionate, and personalized support.

Complete the referral form below and a member of our team will review the information and follow up as soon as possible.

Who Can Submit a Referral?

We welcome referrals from:

✔ Hospitals and Healthcare Providers

✔ Case Managers

✔ Social Workers

✔ Community Organizations

✔ Caregivers and Family Members

✔ Government Agencies

✔ Individuals Seeking Services

No matter where the referral comes from, our goal is to ensure every individual receives the attention, resources, and support they deserve.

Our Referral Process

Step 1: Submit the Referral

Complete the referral form with as much information as possible so our team can better understand the individual's needs.

Step 2: Review and Assessment

Our staff will carefully review the referral and determine which services may be appropriate.

Step 3: Follow-Up

A member of our team will contact the referral source and/or individual to discuss next steps and available services.

Step 4: Service Coordination

If eligible, we will work to connect the individual with the appropriate housing, transportation, or clinical support services.

Ready to Get Started?

Submit your referral today and let our team help connect individuals with the resources, care, and support they need to thrive.

Referral Form

Please complete all applicable fields below. Once submitted, a member of our team will contact you regarding the referral.

Need immediate assistance?

Contact our team directly for support and guidance.