Send Us A Referral

A Place Where the Spirit can Grow and be Nurtured

Our hearts and homes welcome you…

Each and every smile is priceless.

For Referrals, please email Terrol at

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.