The Ramp Referral Process

If you are someone who needs a ramp…

We do not take referrals from clients directly. You will be MUCH better served if you ask your social worker or healthcare professional to make the referral to us as he or she will already have established your physical and financial need.

If you are a social worker and/or healthcare professional…

Have a client who needs a ramp? You are in the right place. All you need to do is complete the online referral form below.

DISCLAIMER

The NM Ramp Project is not in a position to evaluate the medical or financial needs of prospective clients, so all referrals must be made by a health-care provider or agency. All fields indicated with an asterisk must be completed. (Missing information only delays the process.) Do not provide any protected medical information in the referral form below.

Also, please note that our ability to provide ramps is restricted by our current state of funding and backlog of pending referrals. We are a donation-funded, all-volunteer group. Consequently, we cannot make any commitment regarding the time-frame for building a specific ramp. We will do our very best for every client.


All fields indicated with an asterisk (*) must be completed.

Request a Form
First Name
Last Name
Address Line 1
Address Line 2
Month
Day
Year
Is the client, a spouse or child, or any other family member living with the client a veteran of the armed services? *
First Name
Last Name
Do we need to communicate with the contact in Spanish? *
First Name
Last Name
What issues does the client have due to not having a ramp? *
Is the client's condition temporary? *
Is there a financial need based on your agency's guidelines? *
What kind of residence is the ramp needed at? *
Does the client rent or own the residence? *
Is there a need to remove/repair any existing structures in order to build the ramp required? *