NEW PARTNER REFERRAL FORM

One of the largest barriers to recovery housing is lack of funds. We want to help you help your clients gain access to quality recovery housing. New Foundations is dedicated to the success of those we serve. We are NARR (National Alliance for Recovery Residences) certified in OH & KY, which says we are willing to go through rigorous inspections, and abide by higher standards to ensure they have the best recovery housing available.

Completing the information below will allow your client to enter New Foundation's housing without paying the Intake Fee, saving them $100.00.

Program Participant is responsible to pay $20 urine drug screen upon entry, at time of move in.

Name of Referring Organization:(Required)

First Name of Referring Professional(Required)

Last Name of Referring Professional(Required)

Title of Referring Professional(Required)

Phone of Referring Professional(Required)

Email of Referring Professional(Required)

Name of Client Being Referred(Required)

First Last

Phone of Client Being Referred

Email of Client Being Referred

Date

This completed form goes directly to our Intake Department. The next step is to please have your client call our intake department to complete an over the phone assessment to be accepted into our program. We only provide housing to those who identify with having the disease of addiction. We will accept individuals with dual diagnosis under most circumstances. Please call our intake line for any questions, 513-813-2787.

Thank you for being a valued community partner in our mission to help others heal, grow and live.

Please note that the program participant cannot use the Partner Referral Form more than once to waive the intake fee, should they leave and return.

*We add all community partners to our monthly newsletter to help share resources, share specials and important announcements.