Referral Forms

Global Health Link partners with referring professionals such as case managers, social workers, and care coordinators. Please feel free to use these forms to simplify referrals. You can also reach us by phone or fax.

Phone: (651) 374-1620
Fax: (612) 333-0308

General Referral Form PCA HCBS HSS CFSS Relocation Services ICS Assisted Living Mental Health 24-Hour Emergency Assistance

Global Health Link provides a 24-hour emergency assistance program, for clients with BI, CAC, CADI and DD waivers. This service allows a professional to respond to the needs of an individual 24 hours per day, 7 days a week.

This service includes:

On-call counseling, problem solving due to a health or personal emergency that is not related to an injury or immediate danger
Service is available 24 hours a day, 7 days a week without delay
Triage and support to 911/988 assistance
Coordination with support team and other providers
Development of self advocacy skills

Referral Form:
24-hour Emergency Assistance Program

Please hit the Referral Form button below to fill in your referral.

Referral Form

Referral Form: 24-hour Emergency Assistance Program

Referral Forms

This service includes:

Referral Form:
24-hour Emergency Assistance Program

Services

Employment

Social