To see if you qualify for ADRC services, please complete the referral form below. Our team works diligently to respond to referrals promptly. Please note, that any referral received after 9:00 a.m. will be processed the next day. If you or your client have not heard from one of our team members within 48 hours, please call 478-751-6466.
If you have additional questions, please call 1-866-552-4464 and select Option 2.
ADRC Services Referral Form Search for Resources and Services
**NOTICE: Once you have completed the “Quick Screen and Intake” section of the referral form, you MUST select “continue” to enter your contact information. See the illustration below for visual reference.**