How to Apply for Placement

📞 Apply by Phone

Call us during business hours:
Monday – Friday, 9:00 AM – 5:30 PM (CST)
Our team will be happy to assist with the intake process or answer any questions.

📧 Apply by Email

Caseworkers, social workers, and other agency professionals may submit referrals by email.

📩 Send all documents to: home@openwindowsolutions.com
Please include the following attachments and details when available:

Client’s History & Physical (H&P)

Nurse’s Notes

Discharge Summary

Client’s Age, Sex, and Health Diagnoses

(After Hours or Anytime)

💻 Apply Online

You can also use our convenient online application to submit your referral securely at any time.

Start Here to Apply

Are you a family member referring a member for placement? *YesNo

Are you a caseworker, parole officer, social worker, or other professional referring a member for placement? *YesNo

Agency or Referral Contact Information

Please complete this section if you are submitting this application on behalf of a potential member.

Referral Contact

Name *

Agency/Company Name

Relationship to Client *

Phone *

Email Address *

Health & Functional Status

Check any that apply *Use a wheelchairUse a walker, cane, rollaterCan transfer to and from toilet independentlyCan perform basic self-care (bathing, dressing, eating)Capable of responding independently to an emergency situationNone of the AboveOther

Client's Files. *Upload Client's H&P, Nurses Notes, Discharge Summary Files, Ect. If having problems email needed files to home@openwindowsolutions.com

Drag and Drop (or) Choose Files

Primary diagnosis or disability *

Any cognitive or mental health diagnosis /concerns? *