For families and professional partners

A referral path built for clarity and respect.

Case managers, support planners, social workers, healthcare professionals, families, friends, and community partners can use this page to begin a conversation about support.

A caregiver talking and laughing with a child at home

What happens next

A thoughtful handoff, without unnecessary detail.

Use the online form for limited, non-sensitive information. Eligibility, authorization, and availability are discussed after Qali Care reviews the request.

  1. 1

    Share the essentials

    Tell us who you are, who is being referred, the service being explored, and the client’s city.

  2. 2

    Qali Care reviews the request

    The team considers the information and current service availability before following up.

  3. 3

    Discuss possible next steps

    Qali Care contacts the referring party or client to clarify needs and explain available options.

Before you submit

Keep the first step simple.

  • Your name and contact information
  • Your relationship to the person
  • The person’s name and city
  • The service being explored, if known
  • A brief, non-sensitive description of the need

Please do not send diagnoses, medical records, Social Security numbers, detailed medical histories, or financial information.

For urgent questions, call 612-517-2010. For a life-threatening emergency, call 911.

Referral information

Provide enough information for Qali Care to understand the request. A follow-up conversation can cover details.

About you
About the person being referred
Do not include diagnoses, Social Security numbers, medical records, or detailed medical history.

This form is not for emergencies or detailed medical records.

Looking for support for yourself or a loved one?

Use the care request form instead of the professional referral path.

Request Care
CallRequest Care