Referral Forms

If you are seeking housing or are a referrer looking for the necessary resources, please choose the correct tab below. Also available are some of the most frequently asked questions regarding our programs.

House of Charity would like to keep you updated on our openings for both our on-site supportive housing and our out-patient treatment with the option of lodging beds. Please click here to register.

For general program and intake questions not answered on this page, please contact our intake coordinator:

intake@houseofcharity.org or 612-594-2002

Day By Day Chemical & Mental Health Treatment

Day by Day Chemical Dependency and Mental Health Treatment

Day By Day is our 120-day outpatient program for women and men 18 years of age and older that offers a total quality of life approach to co-occurring Chemical and Mental Health Treatment.

To make a referral to Day by Day Co-occurring Intensive Outpatient Treatment (IOP), with the option of lodging, please fax the following documents below:

Please fax all completed information to 612-594-2030 Attn: Treatment Intake. The Intake Specialist will contact you once all the information has been received.

Instructions on how to complete the Third Party and Professional Statement of Need Forms

  • Third Party form – Please list at least 4 episodes of homelessness in the past 3 years.
    • Please exclude jail, hospital stays, treatment facilities, sober housing, and other GRH programs, etc.
    • Please list start and end dates, city, state, and the name of the facility or address.
  • Professional Statement of Need form
    • On the first page, please fill in the applicant’s information to the best of your knowledge and have the applicant sign.
    • The second page – on the top section, please check at least 1 reason, for supportive services. On the bottom section, please check at least 2 reasons.
      • A signature of the qualified licensed professional is required for this form. Please see for to determine which professional is qualified to complete this form.
Permanent Housing Supports

HousingFirst

Single adults who have experienced long-term homeless (LTH) are placed in apartments throughout Hennepin County. Individuals must meet the state’s definition of long-term homelessness, in order to qualify for this option.
To receive a referral, please contact Hennepin County Coordinated Entry to start the process, by calling 612-879- 7624 or dial 211.
Please note: House of Charity does not accept direct referrals from the community for this option.

Housing Supports

Single adults who have experienced long-term homelessness are placed in rooms, in a community setting, with a roommate, or single room, if available. Individuals must meet the state’s definition of long term homelessness, in order to qualify for this option.

To make a referral to the GRH / permanent housing supports (lodging) please fax the following documents below:

Please fax all completed information to 612-594-2030, Attn: Admissions. The Intake Coordinator will contact you once all the information has been received.

Admissions process takes 3-5 days. If you have questions regarding the status of a submitted application, please contact the intake coordinator, at 612-594-2002.

Please note: If your client is in need of immediate shelter, please contact St. Olaf’s  Adult Shelter Connect, by calling 612-248-2350 or have your client walk-in at 215 S. 8th St. Mpls. MN   55402

Housing Supports FAQ

Programs/Housing Frequently Asked Questions

House of Charity is a Housing Supports program that provides permanent supportive housing to single adults. Residents are in a dorm like community setting and are working towards stability. Individuals must be referred by a licensed professional, such as a Counselor, Social Worker/Case manager, or Doctor, if applicable.

You can download the frequently asked questions below.

FAQ.docx