Submit a Referral — Agape Housing Solutions

260-435-9881|6633 E. State Blvd STE 100, Fort Wayne, IN

For Professionals & Agencies

Case managers, hospitals, social workers, parole & probation officers, and community agencies — if you work with someone who needs safe, structured housing, we want to hear from you. We accept referrals for:

SeniorsVeteransRe-Entry IndividualsAdults Transitioning Into Stable HousingDisabled (Functioning Independently)Mental Health — CompliantSober LivingHospital Discharge PatientsLow-Income Individuals

Call Us: 260-435-9881 Submit Online Below

A Note to Case Managers & Social Workers

We're More Than Housing — We're a Community Resource

If you have a client in need of housing — hard to place, or someone who needs affordable, structured independent living — we'd love to discuss whether our program is a good fit.

Allow us to help facilitate restoring independence. Our program provides the stability, structure, and community support that makes long-term success possible. We work alongside case managers and agencies to make transitions as smooth as possible for the people you serve.

Call to Discuss a Client: 260-435-9881 Submit a Referral Online

Hospitals & Medical Facilities

Case Managers & Social Workers

Parole & Probation Officers

Community Agencies & Nonprofits

Referral Form

Fields marked with * are required. For urgent placements, please call us directly at 260-435-9881.

Referring Party Information

First Name *

Last Name *

Organization / Agency *

Your Role / Title

Phone Number *

Email Address *

Referral Source *

Individual Being Referred

Client First Name *

Client Last Name *

Client Phone (if available)

Date of Birth

Population Type *

Housing Need / Urgency *

Current Location / Discharge Location

Additional Information

Special Needs or Considerations

Additional Notes

I confirm that I have authorization to share this individual's information with Agape Housing Solutions for the purpose of housing placement, and that the individual has been informed of this referral. *

For urgent or same-day placements, please call 260-435-9881 or fax to 260-818-2000.