Make a Referral for Future Care Planning

1. Make a referral to Future Care Planning:
   Please submit your referral, along with the required documents, using the form on this page.
   

2. Required documentation with the referral:
   Current Life Plan
   Psychological Evaluation
   OPWDD NOD or HCBS Waiver NOD
   Self-directed Budget or Expenses (if applicable)

Alternatively, click here to download a pdf of the referral form.

Please email the form with the required documentation to:
fcp@lifespanrochester.org