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Didlake Referral

If you are a professional representing an agency that would like to refer a client for Didlake services please complete the Didlake Referral Application.This application is for referring agencies only.

Application

Please download the DidlakeReferralApplication and mail or fax the Application and all supporting documentation to:

Mail:
Didlake Inc.
8641 Breeden Avenue
Manassas, Virginia 20110

Fax:
703-369-7141

  • If you are making a referral for the Community Inclusion Program (CIP),
    please send to Attn: Community Inclusion Director
  • If you are making a referral for Employment Services,
    please send to Attn: Supported Employment Director

Do not e-mail this Application or any supporting documentation.

If you have any questions, or need assistance completing this form, please call 866-361-4195, 8:30am – 5:00pm Monday through Friday.