Serving Jacksonville, FL & surrounding communities
(561) 685-9622
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Passionate Group Home Services LLC

Admissions & referrals

Start the right conversation

We use separate forms for residential placement, availability requests, tours, home & community support inquiries, professional referrals, and employment. Choose the form that best matches your situation and a member of our team will follow up.

These forms are not for emergencies. If you or someone you support is in immediate danger, call 911 or your local emergency services.

Residential

Residential placement inquiry

Residential placement inquiry icon

Residential placement inquiry

Explore residential options for yourself or the person you support.

Please do not include sensitive medical history or diagnosis specifics in this form. Detailed clinical or eligibility information is gathered during the formal assessment process.

Residential

Residential availability request

Residential availability request icon

Availability request

Ask about current or upcoming room availability.

Please do not include sensitive medical history or diagnosis specifics in this form. Detailed clinical or eligibility information is gathered during the formal assessment process.

Residential

Schedule a tour

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Schedule a tour

Tell us who plans to attend and what days work best.

Please do not include sensitive medical history or diagnosis specifics in this form. Detailed clinical or eligibility information is gathered during the formal assessment process.

Home & community

Home & community support inquiry

Home & community support inquiry

Ask about companionship, community participation, transportation, and other authorized support services.

Please do not include sensitive medical history or diagnosis specifics in this form. Detailed clinical or eligibility information is gathered during the formal assessment process.

Professionals

Professional referral

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Professional referral

For APD Waiver Support Coordinators, case managers, social workers, healthcare professionals, and community organizations.

Please do not include sensitive medical history or diagnosis specifics in this form. Detailed clinical or eligibility information is gathered during the formal assessment process.

Employment

Employment inquiry

Employment inquiry icon

Employment inquiry

Interested in joining the team? Tell us a bit about you and how to reach you.

Please do not include sensitive medical history or diagnosis specifics in this form. Detailed clinical or eligibility information is gathered during the formal assessment process.

Documents

Sending supporting documents

Secure document upload — coming soon

For now, please do not attach sensitive documents through the general forms above. Our admissions team will provide a secure way to share documents during the formal assessment process.