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    • Home
    • About
    • Join Rise Network
    • The Motherhood Network
    • PLACEMENT REQUEST
    • Services & Pricing
    • FAQ
    • Resources
    • Legal.Privacy.Disclaimers
    • Neonatal Addiction
    • Non Profit
    • Donate
    • Contact
  • Home
  • About
  • Join Rise Network
  • The Motherhood Network
  • PLACEMENT REQUEST
  • Services & Pricing
  • FAQ
  • Resources
  • Legal.Privacy.Disclaimers
  • Neonatal Addiction
  • Non Profit
  • Donate
  • Contact

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Intake Form

Please complete and email to:

RiseHomesAZ@gmail.com

File coming soon.

Placement Request Form

Fast • Safe • Statewide Coordination

Finding appropriate housing for a client no longer has to take hours.

RISE Housing & Transportation Coordination Network provides fast, reliable placement coordination for case managers, hospitals, detox centers, probation/parole, outreach teams, and families.


We do not operate housing or transportation.

We coordinate on your behalf to help streamline transitions and reduce delays.


Use the form below to submit a placement request.

A coordinator will contact you shortly with updates and housing options.

What This Service Includes

✔ Real-time bed availability checks

✔ Outreach to multiple providers at once

✔ Placement matching based on program level & restrictions

✔ Intake confirmation

✔ Communication with your agency or team

✔ Third-party transportation coordination (optional)

Who Can Submit a Request?

Case managers


Hospitals & detox centers


Crisis stabilization units


Behavioral health agencies


Probation & parole


Outreach teams


Peer support specialists


Family members seeking placement

Application & Forms

Please fill out the application and email it to RiseHomesAZ@gmail.com

Must be 18 years of age or older to apply.

Application (pdf)Download
Liability Waiver.doc (pdf)Download

Send us your info here!

Apply Now

If you're interested in housing with us, complete this form. please add as much detail as you can. 


1.Are you on probation? If so please provide PO Name & Number

2. Are you on any prescribed narcotics?

3. Do you have proof of employment

4. Please provide employment info and/or how your housing will be paid for.

5. Do you have any misdemeanors or felonies? Please explain

6. Do you consent to a background check?

Apply Now

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