Start the process

Request Services or Make a Referral

Complete the form below and our team will reach out within one business day to discuss next steps and eligibility.

Tell Us About Your Needs

All fields marked with * are required. Your information is kept confidential.

Your information is kept strictly confidential and will only be used to contact you about services.

What to Expect

  1. 1

    Submit this form

    Fill out the referral form with as much detail as you can. All information is kept confidential.

  2. 2

    We'll reach out

    A Ryan's House team member will contact you within one business day to discuss your needs.

  3. 3

    Eligibility review

    We'll review DODD eligibility requirements together and identify the right services for the individual.

Prefer to call or email?

Our team is happy to answer questions before you submit a referral.

(330) 915-4580[email protected]