Contact us

CONTACT US

Feel free to contact & reach us !!

If you or someone you know needs housing please fill out our referral form and one of our professionals will contact you

Head office address :

11 Allendale Drive, St. Cloud MN 56301

Email address :

Info@integrativehomehealthsvs.com

Referral Form

Full Legal Name

Date of Birth

Phone Number We Can Reach You At

Permission for Integrative Home Health Services Together to Communicate with you via text.

Yes, Text Me

No, Please Call

If we can text you at the number listed above, please check yes.

Housing Stabilization Services (HSS) Eligibility:

18+ Years Old?

Actively on Medical Assistance

Do you identify with having a disabling condition such as substance use disorder, a mental health condition or illness, learning abilities, developmental history, or any health-related barrier that affects your housing stability?

Experiencing or in danger of housing instability?

What city do you currently live in?

How many people (including yourself) are included in your household family?

Preferred Communication

Integrative Home Health Services staff will try to contact you within one business day of receiving this form

If you are human, leave this field blank.

Contact us

CONTACT US

Feel free to contact & reach us !!

Head office address :

Phone :

Email address :

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Contact Information

Office Location

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