Referral Form: 24-hour Emergency Assistance Program

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

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:

Referral Form:
24-hour Emergency Assistance Program

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

Please send any applicable attachments like CSSP, ROI, PSN, HFPCP to

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