Referral Forms

Please send referral forms to Ashley R:

ashleyr@independentlifestyles.org  |  320-281-2047

IL24: IL24 Program Referral Form

Independent Living Services (ILS): ILS – MCO Referral Form  &  ILS (DEED) Referral Form

On-Call 24hr: On-Call & 24 Hour Referral Form

Housing Stabilization Services (HSS): HSS – Referral Form

Individualized Home Supports (IHS): IHS – Referral Form

Employment First: Employment 1st Referral Form

Please send Rep Payee referral forms to Deb N/

Max B:

St. Cloud – debn@independentlifestyles.org  |  320-281-2048

Duluth – maxb@independentlifestyles.org  218-625-2272

Representative Payee: Rep Payee Intake St Cloud & Rep Payee Intake Duluth

Please send referral forms to Trista S:

tristas@independentlifestyles.org  |  320-406-6345

Pre-ETS: Pre-ETS Referral Form