Case Manager Referrals

1) Send the referral using this form, by phone at 612-433-3088, or by fax at 612-424-0961. 2) Our Qualified Professional contacts you within one business day and arranges secure transfer of assessment documents. 3) We meet the client, build the care plan and staff the case. 4) We let you know when services start. Please do not include diagnoses or PMI numbers in this form.