For referrals in the Eugene/Springfield area:

Please click the link below and answer a few questions to be directed to the appropriate referral form.

Referral form for services in Eugene/Springfield

PLEASE NOTE: ATTENDANT CARE REFERRALS HAVE BEEN PAUSED, SO WE CAN FOCUS ON REDUCING OUR WAIT LIST. WE WILL SEND AN EMAIL ANNOUNCEMENT WHEN ATTENDANT CARE REFERRALS REOPEN.

For dsa referrals in Florence/at the coast:

Please complete this form.

After we receive your referral, a coordinator from Allies will reach out to schedule an intake/meet-and-greet.
If all parties decide to move forward with services, an Allies coordinator will contact the case manager to request the necessary documents.
Please DO NOT send referral packets prior to Allies requesting them. This leads to lots of unnecessary confusion.

For any service except supported living, all documents should be sent to Heather Stewart-Pendley (heather.stewart@allies-llc.org).
For supported living, documents should go to Melissa Fleeman (melissa.fleeman@allies-llc.org)