Let's Talk About Services & Next Steps

Use the form below for service inquiries, referrals, or general questions. We'll respond as soon as possible.

Please do not include Protected Health Information (PHI) or confidential medical details in this form. We will contact you to collect needed information using an appropriate method.

If you're submitting a referral, include the authorized services/hours, county, preferred start date, and any key safety considerations needed for staffing.

Services are delivered based on assessed needs, person-centered planning, and authorized service agreements. Better Days Corporation does not determine waiver eligibility or approve service hours.

Please avoid sending PHI by regular email. We'll confirm the safest method for sharing documents when needed.