• Referral & Housing Inquiry Form

    Share your referral details and housing needs so case managers can follow up.
  • Format: (000) 000-0000.
  • Client Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Has the client lived in shared housing before?*
  • When can the client pay their first month’s program fee?*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Does the client require any daily assistance with personal care (such as bathing, dressing, medication management or mobility )?*
  • Is the client currently on probation or parole?
  • Select all Wraparound Services the client may need support with?
  • Is the client medication compliant?*
  • Has the client been convicted of a sexual offense?*
  • Is the client taking any prescribed medications?*

  • Intake Process

  • I understand the Intake Process at New Story Housing Solutions LLC- Our streamlined intake process helps determine eligibility, match residents with the best available accommodations, and ensure a smooth transition into their new home. 1) Referral & Initial Screening 2) Approval & Room Matching 3) Move-In & Orientation

     

  • I understand or I do not understand
  • Should be Empty: