Partner with us

Submit a Referral

Partner with us to provide comprehensive support for your patients or clients.

Healthcare providers, social workers, and community partners can use this form to refer individuals to I UNITE services.

Referring professional

Your name *

Organization *

Email *

Phone *

Client information

Client name *

Date of birth

Client address

Client phone

Client email

Services needed

Primary service needed *

Referral document (optional)PDF only

Additional notes

Referrals are reviewed within one business day.