Referral Form

Below are the referral steps and follow up process:

  1. Complete and submit the referral form below. You will be asked to choose one of our three core dignity programs.
  2. Receive an email confirmation with:
    • Acknowledgement of your referral
    • Details of the one-on-one shopping date with your referred participant and a Dignity Foundation representative
  3. After the shopping trip, receive a follow-up email with:
    • Details of the visit
    • A sample selection of items purchased

If you have any questions or need further assistance, please don’t hesitate to contact us.