Referral Partners

Submit a Referral

Help someone find a safe, structured home. Complete the form below and Leah will follow up promptly.

01

Client Information

02

Referring Organization

03

Additional Notes

Your information is kept confidential and used only to process this referral.

Resident Intake & Admission Form

Download, complete, and submit with your referral or bring it to intake.

Download PDF

Prefer to refer by phone? Call Leah directly:

404-938-7782
Metro Atlanta, GA