Agency Referral Form

CC’s Safe Haven partners with community organizations, social workers, re-entry programs, and veteran services to provide safe, shared independent living homes for individuals in need of stability and support.

Please complete the form below to refer a client for consideration.
Our team will review all referrals and contact both the referring agency and the applicant within 24–48 hours for next steps.

For questions, email info@ccssafehaven.com or call (412) 546-7008.