Rocky Mountain PACE · Referrals

Submit a PACE referral.

This form is for the IDT staff to refer a PACE member to Impactful Organizing.

Start a Referral Meet the team →
  • Reply in 2 business daysAfter we receive a referral
  • Notes within 48 hoursShared with PACE after each visit
  • Clinically guidedLed by a licensed clinician
PACE referral form

Tell us about the member.

About 10 minutes. Fields marked * are required.
Section 6 is best completed together with the member.

1Referral contact
2Member information
Best way to contact member *
Please choose one.
Best way to schedule sessions *
Please choose one.
3Home environment
For example: layout issues, mobility barriers, rooms they can't use, stress or strain on relationships
4Behavioral health

Share only what will help our team support the member safely and effectively. This information is kept confidential and used only to plan their care.

Is the member currently receiving behavioral health services? *
Please choose one.
Anything that may affect organizing sessions, such as diagnoses (e.g., hoarding disorder, anxiety, depression, cognitive changes), past cleanouts or organizing attempts, strong attachment to belongings, or known triggers.
5Safety check
Are any of the following present in the home? *
Check all that apply.
Please check at least one option, or "None known."
6Complete with the member

Please ask the member these questions and use their own words where you can.

7Consent
This consent is required.
This consent is required.

We'll reach out within 2 business days of receiving this referral.

Referral received

Thank you.

Our team will review it and reach out within 2 business days to schedule the first visit.

The referral process

Referring is simple.

1

Submit the referral

Fill out the form above. Please include relevant background information so we can prepare for the first visit.

2

Review and outreach

We review every referral and contact you within 2 business days.

3

Scheduling

The first appointment is usually within 2 weeks, depending on our team's and the member's availability.

  • Session notesShared with PACE within 48 hours of each visit.
  • Scope and authorizationThe number of sessions is tailored to each member, and PACE decides the final scope and authorization.
What the member receives

A clear path to lasting change.

Every plan is tailored to the member. Clinical support is available when emotional or behavioral factors get in the way of progress.

Step 1

Assess + Plan

A 1-hour in-home visit to assess the home and build a service plan with the member.

Step 2

Reset

Hands-on sessions to reduce clutter and address safety, access, and functional barriers.

Step 3

Build

Sessions to create practical systems and skills that fit the member's routines.

Step 4

Sustain

A follow-up check-in about one month after the main intervention.

Start a Referral
The Impactful Organizing team in matching shirts, smiling outdoors in Colorado Springs
70+Households
served
230+In-home
sessions
500+Hours in
homes
As of October 2026
Meet the team

We get it.
And we can help.

Our team combines professional organizing with licensed clinical expertise. We work at your pace, respect your decisions, and never judge.

LCSWLicensed Clinical Social WorkerLicensed by Colorado DORALicensed by the Colorado Department of Regulatory Agencies (DORA) CPO®Certified Professional OrganizerCredentialed by NAPOCredentialed by the National Association of Productivity & Organizing Professionals (NAPO) ICDCertificate in Chronic DisorganizationInstitute for Challenging DisorganizationICD® Foundation Certificate in Chronic DisorganizationTraining in ADHD · Hoarding Behavior · Aging · Time Management · Ethics & Safety(Institute for Challenging Disorganization)

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