Tips for Referring Clients

To refer an individual to our program please call during regular office hours, Monday-Thursday 8:00 am-5:00 pm and Fridays 8:00 am -4:30 pm. We will require information about the client including: name, address, social security number, date of birth,  drug use history, information on any medical or psychological issues and funding information. Concerned family members, counselors, or clients themselves are welcome to call.

Basic steps to refer to our Program: 

1. Contact Central Intake at at 1-800-233-7503 or 612-672-2736(v/tty).  They will provide you with an intake form and program information.  They will also collect basic information and verify your insurance status. 

2. Next, complete the  intake form. (A copy of the form may be obtained by requesting it be FAXed or e-mailed to you by Central Intake or downloading from this website).  It is important for the Program to have a complete form with detailed information so that we may better serve or refer the client and obtain funding.  The completed form can be FAXed back to Intake at 1-612-672-6572.

3.  Central Intake will collect all information and send it to the Deaf Program for review. 

4. Our Program staff will contact you to collect any other needed information and to discuss possible admission. Please be sure to give the Intake staff clear contact information: e-mail, VP, phone info. 

5. Case histories are discussed among the team including the nurses and clinical supervisors to ensure to best placement for the individual.

6. Most funding sources are accepted. For more information regarding funding call Intake.

Additional information to be considered: 

1. Admission dates and times are determined by the Program staff with consideration being given to the clients needs and the ability of the Program to accommodate those needs.

2. Some types of funding may require patients to make a down payment at the time of admission. Flexible payment plans for self-pay clients and costs not covered by insurance are available.

3. A round trip ticket is required for admission. Staff can provide estimates of a return date to the client or client’s family. Changes to tickets are the patient’s responsibility. It is very important not to book transportation until all arrangements have been finalized and approved by our office.

4. Although the Program is anxious to work with family members and referral sources, further contact following admission is possible only when appropriate release of information forms are signed by the client.

 5. Deaf Program staff will provide you with all necessary information needed should you be admitted into the program.