Our hearts and homes welcome you…
Each and every smile is priceless.
For Referrals, please email Terrol at firstname.lastname@example.org
Thanks for your interest in Paradigm.
If you would like to do a referral, please feel free to complete this online form to submit directly to us via secured email. Along with submitting this referral, please fax/mail most recent Medications, Psychiatric Evaluation, Social History and Neurological/Psychological Evaluation if available. Physical and Mantoux are required within 30 days prior to admission.
To complete a referral form offline, click here to download the referral form (PDF) which will give you access to a printable form for you to complete and fax/mail to us.
Fill Out The Form Below
Please fill out entire form, or put “N/A” if the information is not available.