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Please complete the following form.


Name of Person making the Referral

Email of person making the Referral

Organization Affiliation

If you marked "Other" in the previous field, please share your Organization Affiliation:


Preferred Pronouns
If you marked "Other" in the previous field, please share the client's preferred language:

Please select the services you are interested in receiving:
Small Business Assistance:
Does the Client need assistance with any services not listed above? (Housing, transportation, technology access, etc.)

Is the Client a Baptist Health System patient?

Please share any additional details that will assist us in processing this intake (best time to contact client, special accomodations, etc).

Thank you for being Catalyst Miami's referral partner! We will begin processing this intake as soon as possible. The client should expect to receive a phone call from our Intake Staff within 3 business days. If the client hasn't heard back from us within a week, please send an email to [email protected], or call us (or text us) at (786) 744-5079.

*We use a special tax software that enables us to efficiently process tax referrals, which requires us to use a separate referral link. The link to refer a client for tax preparation services is here.