Referrals – A Higher Standard of Assisted Living — Built on Compassion, Dignity, and Trust

Referral Partnerships

Professional and B2B focused collaboration.

Referral Workflow

Referral submission

Review and evaluation

Acceptance decision

Care planning

Transition coordination

Assisted Living Referral

Is a client in need of Assisted Living Services? Please provide as much detail as possible in the referral form below. Once submitted, our team will review it and respond promptly.

Client Information

First Name

Last Name

Date Of Birth

PMI Number

Phone Number

Email Address

On Medical Assistance (MA)?

On a Waiver? (CADI, EW, DD, BI)

Care Needs & Preferences

Describe Functional or Cognitive Support Needs

Is the client currently in a facility?

Current Facility Name (if any)

Desired Move-in Date

Furnished Unit Needed?

Case Manager Information

Full Name

County or Agency

Phone Number

Email Address

Will this Case Manager remain involved in ongoing care coordination?

Upload Supporting Documents

Upload CSSP / MnCHOICES / Service Plan

Upload POA or Guardianship Info (if applicable)

Referral Partnerships

Amber Grove Care Center works closely with:

Referral Partnerships

Referral Workflow

Referral submission

Review and evaluation

Acceptance decision

Care planning

Transition coordination

Assisted Living Referral

Referral Partnerships

Why Professionals Refer to Us

Response Time Commitment

Choosing care should not feel uncertain

Amber Grove Care Center

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