
Client Intake & Referral
Elevating the Standard of Direct Support —
One Purposeful Plan at a Time
Ready to Get Started?
We're here to make it easy for you to start services or refer someone who could benefit from our comprehensive support programs.
Whether you are a parent, guardian, provider, school, agency, or the client themself, we welcome your submission with open arms.
Our Services
Habilitation Support
Employment Services
Transportation
Respite Care
What to Expect
1
Submit Form
Complete the detailed form below with as much information as possible to help us understand your needs.
2
Intake Call
We'll reach out within 1–2 business days to confirm details and answer any questions you may have.
3
Service Match
We align your goals with the right services, schedule, and team to create your personalized plan.
Important Notes
🔒 We handle all information with complete confidentiality and dignity.
📄 Upload summaries or relevant pages only - full medical records not needed.
📋 IEP/ISP goals, Behavior Plans, or DDD authorization are most helpful.
Who Can Submit?
👨👩👧👦Families
🙋♂️Self-Referral
🏫Schools
🏢Agencies
👩⚕️Providers
🤝Coordinators
Client Intake Form
Please fill out all required fields
Questions?
Email us at towanda@2wandabrands.com