Referral Form Instructions
How to Refer a Resident
If you’re a probation officer, social worker, or family member, you can refer someone by:
Downloading and completing the referral form below
Emailing it to [intake@michaelsheartorg.org]
Waiting for confirmation from our intake team within 1–2 business days
We’ll then schedule a phone interview and verify eligibility.
Eligibility:
Male, 18+
Committed to sobriety
Willing to follow house rules and attend meetings
No active warrants or violent charges
Online Intake Form
Instructions:
Please fill out the form below. Someone from our intake team will contact you within 1–2 business days.