CURRENTLY ONLY SERVING THE ANTELOPE VALLEY AREA

Entrance Criteria

  • The client must be 18 years of age or older
  • The client must be able to physically, emotionally, and psychologically participate in the program or approval from the family or a doctor
  • The client must have a basic knowledge of money and budgeting to be able to pay any rent/lease fees that apply or have a payee service/family who take care of these areas
  • The client must not be actively engaging in criminal behavior or affiliated with a gang
  • The client must not be actively using illegal drugs specifically: (cocaine, heroin, crack, meth, LSD, or using prescription pills that are not prescribed to the client) or have an active substance abuse problem and not willing to seek treatment
  • If the client has a seizure disorder, the disorder needs to be stable and under control or under doctor care
  • The client or family member must disclosure any chronic assaultive behaviors, self-injurious behaviors, wandering, property destructive behaviors, allegations of sexual, physical, financial abuse towards a vendor/staff and information regarding any display of socially or sexually inappropriate behavior within the last 2 years as well as being a sex offender.

If a client does not meet the entrance criteria, then the client/family member must discuss the case with RCM’s Program Manager/Director prior to moving forward with the referral process at 661-522-5289.

Intake/Referral/Screening Process

To begin the referral process, please complete the form at the bottom of the page accurately and completely. 

You can also download the referral form here Referral Form for Senior Care and complete on your computer.  The document is in Adobe Acrobat PDF and may require a current version of the free Adobe Acrobat Reader to be correctly viewed and printed

Once the form is completed, please do one of the following:

  •  Submit the referral form below, and you will automatically receive a confirmation email if your email address is accurate.
  • If you downloaded the referral form, you can save to your computer and email the form to referrals@independentlivingservices.org
  • Or Print out the form and FAX the entire referral form to the RCM referral department 661-522-5289.

Once the referral is received,

  • The initial assessment/screening begins with a review of the referral packet
  • Next, the RCM’s Program Manager/Director will contact the potential client to conduct a pre-evaluation consultation, telephonically or face to face, between RCM and client and as needed family members to determine the appropriateness of the referral for RCM’ services
  • Based on the outcome of the consultation, RCM’s Program Manager/Director will work with the client/family to secure the correct funding

If you do not hear from RCM within 2 business days, pls contact us at 661-522-5289.

For more information about Rogers’ Consulting and Management (RCM), click here.  To read our latest blog post click here.  Thank you for your referral, and we will be in contact soon.

Referral Form for Seniors

    • Client's Basic Information

    • Reason for Referral

    • General Background

    • Attach or Email The Following Documents

 

Verification

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