Submit a
Referral

Whether you are a case manager, healthcare provider, family member, or referring yourself — we are here to help. Our nurse-led team responds to every referral within 24 hours.

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24hr

Response Time

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RN-Led

Nurse Oversight

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100%

Confidential

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2 Cities

Birmingham & Tuscaloosa

Referrals Come From All Over

You do not need to be a professional to refer someone. We accept referrals from anyone who sees a need.

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Case Managers & Social Workers

DHR, VA, and community-based organization staff referring clients for housing support.

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Healthcare Providers

Nurses, doctors, and mental health professionals discharging patients who need stable housing.

Probation & Parole Officers

Reentry coordination for individuals transitioning from incarceration to independent living.

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Faith-Based & Community Orgs

Churches, shelters, and community organizations connecting people to housing resources.

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Family & Friends

Loved ones who see someone they care about struggling with housing instability.

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Self-Referrals

You can refer yourself if you need housing support. You do not need someone to refer you.

What Happens After You Refer

From the moment you submit, our team moves fast. Here is exactly what to expect.

We Receive Your Referral

Your form goes straight to our intake team. You get a confirmation that we received it.

24-Hour Response

A member of our team reaches out within one business day — either to the referrer or the client, based on your preference.

Intake Assessment

We schedule a conversation to understand needs, goals, and current circumstances. This is not a test — it is a conversation.

Placement & Support

If eligible, we connect the client to the right program — RISE Group independent living, dog therapy, or other services based on their needs.

See if You or Someone You Know Qualifies

Check the statements that apply. Even one checkmark means we can probably help.

📝 What to Have Ready Before You Start

The form takes about 5 minutes. Having these details handy makes it even faster:

Your name, phone, and email
Client's full name and date of birth
Client's current housing situation
Client's phone number
Any relevant background or concerns
Your relationship to the client

All information is kept confidential and used only for intake purposes.

Submit a Referral Now

The form is 4 steps and takes under 5 minutes. Your information is secure and goes directly to our intake team.

Prefer to fill out a paper form?

📄 Download PDF Application

Having Trouble With the Form?

No problem. Reach out directly and we will walk you through it.

What happens when you call?

  • You speak with a real person — not a machine
  • We take the referral information over the phone
  • We answer any questions about our programs
  • Everything is confidential

Before You Refer

Do I need to be a professional to make a referral? +
No. Anyone can make a referral — case managers, healthcare providers, family members, friends, or the person themselves. You do not need a professional title to refer someone who needs help.
How long does the form take? +
About 5 minutes. We ask for the basics — who you are, who needs help, their housing situation, and any concerns you want to share. No essays required.
Is the information kept confidential? +
Yes. All referral information is confidential and used only for intake purposes. We do not share your information with outside parties.
What if the person does not have a phone or email? +
Fill out the form with as much information as you can. In the Comments section, note the best way to reach them — even if that is through you as the referrer. You can also call us at (205) 202-1405.
Can I refer myself? +
Absolutely. Select "Self-referral" in the relationship field. You do not need someone else to refer you. If you need housing support, reach out.
📞 Call Now Start Referral