Refer an Individual

QHAH welcomes residential referrals for adults with developmental disabilities. We work with individuals, support coordinators, Community Services Boards, families, guardians, hospitals, REACH, case managers, and other authorized referral sources.

Our referral process helps us understand the person, the support they need, and whether QHAH may be an appropriate residential provider.

How It Works

Start the Referral

Contact QHAH to discuss the referral, or download our ADM-001 Residential Referral Packet below.

Submit the Referral

Complete ADM-001 and contact QHAH for secure submission instructions.

QHAH Reviews the Referral

We review the information and follow up if anything else is needed. Next steps may include records review, assessment, meeting, or tour.

QHAH Residential Referral Packet

ADM-001 is intended for CSBs, support coordinators, case managers, hospitals, REACH, and other authorized referral sources seeking developmental disability group home residential services.

Download ADM-001
Completed referral packets may contain confidential information. Do not submit a completed ADM-001 through the general website contact form. Please contact QHAH for secure submission instructions.