Refer a Client

Community Care Referrals

Connect to Care

Refer an individual or family to TPF’s Community Care services through our centralized intake form.

If you know an individual or family who may benefit from TPF's Community Care services, you can submit a referral inquiry through our centralized intake form. Our team will follow up to determine eligibility and identify the right pathway.

Community Care Referral

Refer an individual or family to TPF’s Community Care services. Our team will follow up to confirm eligibility and find the right pathway.

Your name

Organization (if any) (optional)

Your relationship to this person (for example: case manager, teacher, family member, self)

Your phone number

First name or initials

Age group

City and ZIP code

Preferred language (optional)

Best way to reach them (phone or email) (optional)

Health coverage (optional)

Support needed (select all that apply)

Enhanced Care Management (ECM) Community Health Worker support Connection to therapy or clinical care Essentials like diapers and food Play Dates, Wellness Labs, or ARTGard Not sure, please advise

How soon is support needed?

Briefly, what led to this referral? (optional)

The person being referred (or their parent or guardian) knows about this referral and agrees to be contacted by TPF.

Connect to Care

If you know an individual or family who may benefit from TPF's Community Care services, you can submit a referral inquiry through our centralized intake form. Our team will follow up to determine eligibility and identify the right pathway.

Refer a Client

Community Care Referral

323-924-9084

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