Refer a Family to Crescent Cove

For anyone who wishes to refer a family to Crescent Cove, please complete our referral form either online or on paper. All information requested is the same on both forms. If you are a parent/caregiver, you are also invited to fill our the release of information forms at the same time as the referral form.

Online Referral Form

Paper Referral Form

Forms for Release of Medical Records

For questions or about eligibility, please contact our team at 952.426.4711 x1 or

Since we began as a non-profit organization, it has been our goal to develop a reimbursement model, accomplished by working with families and state and community leaders. Over the past few years, we worked with the Minnesota Department of Human Services and we are now an approved Home and Community Based Services Provider. As of December 1, 2019, Crescent Cove will be billing private insurance and medicaid waivers for respite stays. Crescent Cove is committed to working collaboratively with families, counties and the state to ensure this resource is available for families long into the future.