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Submit a Referral

Refer an adult on an Ohio DODD waiver to transportation, career planning, or employment support.

County boards, service coordinators, social workers, and community partners can use this form to refer someone 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.