At SimplyHome, we take a person-centered approach to identify the individual's goals, preferences, and concerns. Our referral form is the first step in the SimplyHome process. A referral form helps our team get to know the individual. Please complete the referral form below to get started.
Not sure what technology would be the best fit?
You don’t have to. That’s our job! Please complete the referral form, and based on the information you provide, we will send you information about enabling technology that fits your needs and unique goals.
If multiple users use the technology in one location, please complete one referral form per location.