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Begin the Intake Process

Your information is secure and confidential. Complete all three steps and a member of our team will reach out within 1 business day.

1
Contact Info
2
Child & Reason
3
Additional Info

Your Contact Information

Tell us how to reach you. All information is kept strictly confidential.

Please enter your full name.
Please select your relationship.
Please enter a valid phone number.
Please enter a valid email address.
Your information is secure & confidential

Child & Reason for Inquiry

Help us understand the child's situation so we can provide the most appropriate support.

Please enter the child's first name.
Please describe the reason for your inquiry.
Please select an urgency level.
Your information is secure & confidential

Additional Information

Almost done. Any extra context helps us prepare for our initial conversation with you.

Click to upload or drag & drop

Referral documents, assessments, court orders, psychological evaluations

PDF, DOC, DOCX, JPG, PNG — Max 10MB per file

Response TimeWe review all submissions within 1 business day and will contact you via your preferred method.
You must confirm and consent to continue.
Sent securely to intake@preferredrh.com

Intake Submitted Successfully

Thank you for reaching out to Preferred Residential Homes. Your submission has been received and sent to our intake team. Here's what happens next:

1
We Review Your SubmissionOur intake team reviews your information, typically within 1 business day.
2
A Team Member Contacts YouWe'll reach out via your preferred contact method to discuss the child's needs and our availability.
3
We Begin the Intake ProcessIf there's a fit, we'll coordinate next steps, documentation, and placement together.
Have an urgent need? Call us directly at (623) 385-2064