Refer a Veteran

For case managers, discharge planners, VA staff and re-entry specialists. Takes about 10 minutes. Everything goes straight to our placement team.

Your role

VA staffHUD-VASH, HCHV, VJO, HCRV, social work SSVF or rapid re-housing case managerGrantee or community partner Hospital discharge plannerInpatient, behavioral health, or SNF Shelter or transitional programGPD, emergency shelter, reentry program Something elseFamily member, veteran service officer, nonprofit

Your name Your title Agency or facility Your work email Your direct phone Best time to reach you

About the veteran

Only share what you are authorized to share. You will confirm consent before submitting.

First name Last name Date of birth Branch of service Veteran's phone Veteran's email Where is the veteran staying now? Needed move-in date Expected length of stay Vehicles to park Room preference

Fit for our homes

Our homes are independent living. They are non-smoking and pet-free, with no medical or personal care provided.

Can the veteran live independently, with outside services as needed? Mobility Needs help with daily activities? Smokes or vapes? Has a pet or service animal? Accommodations we should plan for (optional) Anything else we should know (optional)

How rent will be covered

SSVF rapid re-housing or prevention HUD-VASH voucher Grant and Per Diem or other VA program Veteran pays privatelyBenefits, pension, or earnings Other arrangement

Program or funder name Approval status Deposit or first month covered? Billing contact name Billing contact phone Billing contact email

Documents

Clear phone photos or scans are fine. PDF, JPG, PNG or HEIC, up to 15 MB each.

Consent and submit

I have a signed release of information, or the veteran's permission, to share this information with Orchid Holdings. The information in this referral is accurate to the best of my knowledge. I have explained that these homes are independent living, non-smoking and pet-free, and that residents sign house rules. Send me updates on this referral by email.

Type your full name as your signature Date

Review and send

Check the details, then send. We confirm an open room within 48 hours.