NIGHT OWL SUPPORT SYSTEMS, LLC | P.O. BOX 259293 | MADISON, WI 53725 | TOLL FREE: 877-559-1642 | FAX: 608-960-4003 608-960-4001

NOSS Referral Form

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Fax completed form to: 608-960-4003

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The Referral Process

Individuals are asked to fill out a referral form. Once the referral is received, and the respective person and/or their team feels the referral is appropriate, NOSS staff meets with the person and their team to assess the supports necessary to offer a more independent lifestyle. NOSS, through the assessment and intake process, receives relevant records and develops individual protocols to be used at the monitoring and response sites. NOSS does not require long term contracts and filling out a referral form does not obligate a person to use NOSS supports.

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