Spectrum Network Referrals - The Spectrum Network

Submitting the Referral Form

We value the privacy and security of sensitive information. Do not email completed referral forms, as email is not a secure method for transmitting confidential information. Instead, mail your completed referral to the address at the bottom of the form.

Thank you for helping us protect your privacy. If you have any questions about the referral form, please contact us.

Any individual aged 16 or older with a documented disability may be eligible for services from The Spectrum Network (TSN). Services provided include:

Day Habilitation Services
Job Coaching
Job Development
Home-Based Habilitation

MISSION STATEMENT: The Spectrum Network is committed to empowering individuals with cognitive disabilities, mental illness, and other barriers to independent living by supporting their integration into the workforce and community.

Admission Criteria

To qualify for services at The Spectrum Network, individuals must meet the following criteria:

Have identified vocational, educational, or health-related desired outcomes.
Secure funding prior to the start of services.
Be at least 16 years of age.
Not pose a risk of harm to themselves or others.
Have a diagnosis of one or more of the following:
- Intellectual Disability
- Mental Illness
- Developmental Disability
- Brain Injury

A psychological or psychiatric evaluation (based on funding source requirements) must be completed prior to the initiation of services. This process may take up to four weeks after TSN receives a signed release to obtain necessary information.

Provide a Social Security Number (required for vocational services).
Possess a valid picture identification card (required for vocational services).
Be approved by TSN’s screening committee.

Referral Eligibility

Referrals may be initiated by:

The individual seeking services.
Family members.
Case Managers.
Other professionals.

How to Make A Referral

To initiate a referral, follow these steps:

Complete the organizational Referral Form. The individual seeking services must sign the form and express willingness to participate.
Attend an initial intake interview, which will be scheduled by organizational staff.
Submit the following documentation to expedite the referral process:
- A physical examination report completed within 60 days prior to admission.
- Psychological and/or psychiatric evaluation reports.
- Signed releases of confidential information forms.
- Other relevant documentation regarding the individual’s need for services.
Collaborate with organizational staff to ensure funding is obtained.

Next Steps After Referral

Organizational staff will conduct a screening to determine eligibility for services.
The individual will be notified of the screening results with one of the following:
- A letter, email, or phone call confirming the start date if eligible.
- Recommendations for referrals to other appropriate agencies if deemed ineligible.

Download Referral Form

Submitting the Referral Form

Thank you for helping us protect your privacy. If you have any questions about the referral form, please contact us.