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Referrals

Looking to chat with us? Do you have further questions? We can help! Please submit a referral or inquiry request and our team will follow up.

Network and connecting the community

Use this form to refer an individual for MySkye Care services. Share as much detail as you can so our team can review the referral and follow up with you.

Questions? Call us

612-472-1001

Email

[email protected]

Fields marked * are required. The information you share is sent directly to our team.

Referral form

Please complete the sections below.

Gender
Referral Service Type
Are there any known cultural consideration needs?
Is there any gender preference regarding the assigned staff?
Mental Health Case Manager?
Waiver Case Manager?
Waiver Type:
Care Coordinator with primary clinic or insurance company?
Would you like to be updated on all assessment scheduling & treatment of services?
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