A clearer path forward

Let’s find the right next step.

When someone needs support, the process should feel human—not overwhelming. Share a few essentials and an RY team member will follow up to better understand the need, answer questions and explore the most appropriate path.

Relationship first
Clear follow-through
Respect for individual choice

A simple, thoughtful process

We start with enough information to connect—not a long clinical packet. An RY team member will follow up through an appropriate, secure process.

Tell us the need

Share the type of support being explored and the best person for our team to contact.

We connect

RY acknowledges the request, asks the right questions and explains possible next steps.

We follow through

Our team communicates fit, documents needed and a warm handoff—even when another resource is best.

Step 1 of 5

Who is making this connection?

Start with your information so our team knows who submitted this and how to reach you.

Who is making this connection?

Your name

Organization (if applicable)

Your role / title (optional)

Email (required if no phone)

Phone (required if no email)

Please provide at least a phone number or an email so RY can follow up.

Who needs support?

Let us know who this connection is for.

Who needs support?

What support is being explored?

Select all that apply. It is okay if you are not sure yet.

Support area

Intensive outpatient services (IOP)Behavioral health residential care (BHRF)Recovery or sober livingHousing or community resourcesCare coordinationSubstance-use treatment/resourcesNot sure—help identify the path

Coverage or funding pathway (if known)

Location, timing and internal check

A few more details so we can route this connection correctly.

Current city

County

Preferred follow-up timing

Best time

Preferred contact

Is an RY team member already working with you?

Anything else, and consent

A short, high-level note is enough. We will gather protected details securely if needed.

What would help RY know before we contact you? (optional)

Please provide only the information needed to help us make the appropriate connection. Detailed medical or treatment information can be discussed securely with the appropriate RY team member.

Submitting this form requests contact from RY Services. It does not guarantee admission, eligibility, coverage, housing, transportation or placement.

We could not send the form just now. Please try again or call RY Services at (480) 590-2000.

✓

Thank you. Your connection has been received.

An RY Services team member will review the information and follow up based on the timing and contact preference provided.

Submission of this form does not guarantee admission, placement, eligibility, insurance coverage, or availability.

If this is an emergency or someone is in immediate danger, call 911. For mental health or substance-use crisis support, call or text 988.

Visit RY Services