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Make a Referral

“There's nothing else out there like BIS. They help clients find resources to live their new normal as meaningfully as the client decides.”

If someone you know is in need of services, please complete the referral form below. If you need assistance, please contact us at (703) 451-8881 or

For patient confidentiality reasons, medical professionals please use our professional referral form.

Referral Form

    Information About Person Needing Services


    Caregiver Information

    Referring Information

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