County of San Luis Obispo Residents In Home Supportive Services Client Referral

  • Complete all mandatory fields. Required fields contain an asterisk (*)
  • Once referral is submitted you will be contacted regarding your request for IHSS Services

SLO County Residents IHSS Client Referral
Full Name of Person Referring Client
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Phone number of Community Partner Referring Client

Applicant Information

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Best time to reach you between Monday-Friday 8am-5pm*
Currently on Hospice?:

Describe all known medical conditions / diagnoses

Authorized Representative

Does the applicant have/need an Authorized Representative?:

( ) -

Contact Social Services

Child and Adult Hotline Information:

  • If you suspect there is an emergency requiring immediate intervention, call 911
  • To report suspected child abuse or neglect call the 24 hour Child Abuse Hotline at (805) 781-KIDS (5437) or toll free 1-800-834-KIDS (5437)
  • To report suspected elder abuse or neglect call the Adult Services Hotline at (805) 781-1790 during regular business hours, or after business hours call (844) 729-8011