Make a Referral

Empathy at Every Entry. Putting Client Care First.

We welcome referrals from case managers, counties, family members, probation officers, health professionals, and individuals seeking treatment for themselves.

Substance Use Treatment Referral Form 

This secure referral form helps us begin the intake process and coordinate care as quickly as possible.

Before you start:

Whether you’re referring yourself or someone else, please have the following documents ready (if available):

  • If you’re referring yourself: You can upload a copy of your recent assessment if you have it.
  • If you’re a provider or third-party making a referral on the client’s behalf: Please upload the most recent Comprehensive SUD assessment, Weekly Treatment Plan (if applicable), Discharge Summary (if applicable), and a valid ROI.

SUD Self-Referral Form

Click below to start your confidential self-referral for substance use disorder services.

Start Self-Referral

SUD Third Party Referral Form

If you're a provider or support person referring someone to our services, please use the form below.

Start Third Party Referral

Mental Health Referral Form

Use this form to refer yourself or someone else for mental health services at Recovering Hope.

Start Mental Health Referral

Release of Information (ROI)

If we don’t have a Release of Information (ROI) on file yet, you can complete one now using one of the options below:

Fill out the ROI online

Download the ROI form (PDF)

Return completed PDFs to referrals@recoveringhope.life or fax to 651-323-2558.

Thank you for helping connect someone to care.

We appreciate your referral. Our team reviews all submissions promptly and will follow up as needed to complete the intake process.

Need Help or Have Questions?

We’re here to support you.
Please contact our admissions team at 320–364-1300 or Email Below