This page is for social workers, case managers, doctors, and nurses.
Guests cannot refer themselves.
HOW TO REFER A GUEST
STEP 1: IDENTIFY THE NEED
Is the patient in severe or life-threatening condition? (Inpatient Services)
Does the family live at least 25 miles away from the hospital?
Is the family safe? (No contagious diseases, non-threatening temperament or demeanor)
STEP 3: CONTACT JACOB'S HOUSE
Call us at 951-452-2627 to let us know you'll be referring a family
Complete the electronic referral form below
STEP 4: JH APPROVAL/DENIAL
JH Staff will review the form within 2-4 hours
JH Staff will call the primary guest for a brief phone interview
JH Staff will provide a link to an electronic check-in/registration form to the guest(s)
Jacob's House will only recieve families between 8am and 8pm
(TO BE COMPLETED BY HOSPITAL STAFF ONLY)