Referral Form

This information allows our RN Case Management team to better understand the client’s needs, determine service eligibility, and coordinate care efficiently. Providing complete information helps reduce delays and supports a smoother intake process.

All information submitted is reviewed confidentially and used solely to support care coordination.

After your inquiry is submitted:

  • An RN Case Manager reviews the information provided

  • Additional details may be requested, if needed

  • Our team contacts you to discuss eligibility, services, and next steps

Services are provided wherever the client is, including community-based, telephonic, or virtual coordination, as appropriate.

Inner Peace & Harmony provides outpatient case management and care coordination services.
We do not provide direct clinical treatment, housing, or financial assistance.
Mental health care coordination is a core area of specialization, though services are not limited by diagnosis.
All information is handled in accordance with applicable privacy standards.