Serving Atlanta & Surrounding Areas

Make a Referral

We value our partnerships with care providers. Use this secure form to start the intake process for your client.

Eligibility Criteria

  • Must be ambulatory (walker/cane OK)

  • Must be continent

  • Non-violent history

  • No active drug or alcohol use

  • Medication compliant

Eligibility Criteria

  • Current Medication List

  • Face Sheet / Demographics

  • History & Physical (If available)

  • Proof of Income (SSI/SSDI award letter)

Caseworker Information

Client Personal Information

Gender

Client Income & Financials

What is the client's primary source of monthly income?
$

Independence Assessment

Behavioral and Situational

What is the client's current criminal history?
Is the client currently on probation or parole?
What is the client's current living situation?

Housing Preferences

What is the client's desired room type?
NEXT

Providing safe, stable and supportive housing for individuals in need of a fresh start. A place to call home.

Contact Us

Atlanta, GA & Surrounding Areas

For Caseworkers

Need immediate placement? We prioritize referrals from hospitals and shelters.

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