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

As part of our mission, we have actively been developing a reimbursement model to fund the care provided at Crescent Cove through working with families and state and community leaders. Crescent Cove became an approved Home and Community Based Services Provider with the Medicaid programs in Minnesota (2018) and Wisconsin (2019), and works with families for reimbursement funding through Minnesota and Wisconsin Medicaid Waiver programs 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.