Client Referrals

Refer a Client
for Care

Help someone you know access compassionate in-home support services across Minnesota.

Help Someone Get the Care They Deserve

At Qali Care Services LLC, we welcome referrals from families, case managers, healthcare professionals, and community partners. If you know someone who could benefit from compassionate in-home support services, submit a referral using the form.

Timely Response

Our team reviews referrals promptly and contacts you within 24 hours.

Confidential Process

All information is handled with the utmost confidentiality and care.

Person-Centered Care

Every individual receives a customized support plan tailored to their goals.

Send a Referral

Your Full Name *

Your Email Address *

Your Phone Number

Your Relationship to Client *

Client Information

Client Full Name *

Client Phone Number

Service Needed *

Client City / Location

Additional Information