Hospital Staff
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 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/ demeanor)
STEP 2:
Educate the Family
Provide a brochure to the family (or have them visit our Guest Page)
Jacob's House is FREE, no guest is turned away for being unable to pay. (Suggested Donation of $20/night)
If the family is interested:
STEP 3:
Contact Us
Call us at 951-452-2627 to let us know you'll be submitting a referral
Complete the electronic referral form below
STEP 4:
Application Review
JH Staff will review the referral within 2-4 hours
JH Staff will call the primary guest for a brief phone interview
JH Staff will send a link to a registration form to the guest(s)
Jacob's House will only receive families between 8am and 8pm
REFERRAL FORM
(TO BE COMPLETED BY HOSPITAL STAFF ONLY)