Refer a Resident

Make a referral.

For case managers, social workers and organizations placing someone in housing. We will review the referral and come back to you about availability and next steps.

Referring organization
Resident information
A short description is enough. Please do not include medical, clinical or other sensitive details in this form.

Please keep this form free of sensitive information. Do not include diagnoses, medical or clinical records, medication lists, Social Security numbers or financial account details. If a placement proceeds and additional documentation is required, we will arrange a secure way to handle it.

Referring yourself or a family member? The housing request form is the shorter route.

What happens after you submit

We receive it

The referral is logged and the Eagle Harbor team is notified straight away.

We review

We assess the referral against current availability and fit.

We contact you

We contact the referring organization — you — about availability and next steps.

Placement

If there is a fit, we handle housing details, agreements and move-in arrangements together.