{"id":3288,"date":"2026-08-22T10:01:30","date_gmt":"2026-08-22T10:01:30","guid":{"rendered":"https:\/\/staging.thhs.care\/?page_id=3288"},"modified":"2026-08-22T19:50:04","modified_gmt":"2026-08-22T19:50:04","slug":"agency-transfer","status":"publish","type":"page","link":"https:\/\/thhs.care\/es\/referrals\/agency-transfer\/","title":{"rendered":"Agency Transfer Referral"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3288\" class=\"elementor elementor-3288\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e9460e1 e-con e-atomic-element e-flexbox-base e-6177f3d \" data-id=\"e9460e1\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"e9460e1\">\n    <div class=\"elementor-element elementor-element-6e250ba e-con e-atomic-element e-flexbox-base \" data-id=\"6e250ba\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"6e250ba\">\n    \t\t<div class=\"elementor-element elementor-element-7440a32 elementor-widget elementor-widget-html\" data-id=\"7440a32\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- ===== THHS Referral Page \u2014 paste into ONE Elementor HTML widget ===== -->\r\n<link rel=\"preconnect\" href=\"https:\/\/fonts.googleapis.com\">\r\n<link rel=\"preconnect\" href=\"https:\/\/fonts.gstatic.com\" crossorigin>\r\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Special+Elite&family=Playfair+Display:ital,wght@0,600;0,700;1,600&family=Courier+Prime:wght@400;700&display=swap\" rel=\"stylesheet\">\r\n\r\n<style>\r\n  \/* force full width even inside an Elementor Flexbox container *\/\r\n  .elementor-widget-html:has(#thhs-referral),\r\n  .elementor-widget-html:has(#thhs-referral) > .elementor-widget-container{\r\n    width:100%; flex:1 1 100%; align-self:stretch; min-width:0;\r\n  }\r\n\r\n  #thhs-referral{\r\n    --cream:#faf7f0; --sage:#e3e9dc; --wheat:#ede0c8;\r\n    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text-transform:uppercase; color:#c9b78d;}\r\n\r\n  #thhs-referral .tr-foot{padding:34px 0 48px; font-size:.82rem; color:#5c503f;}\r\n  #thhs-referral .tr-foot .tr-rule{height:1px; background:var(--rule); margin-bottom:20px;}\r\n  #thhs-referral .tr-foot strong{color:var(--navy);}\r\n\r\n  @media(prefers-reduced-motion:no-preference){\r\n    #thhs-referral .tr-intake{animation:trLift .5s ease both;}\r\n    @keyframes trLift{from{opacity:0;transform:translateY(10px);}to{opacity:1;transform:none;}}\r\n  }\r\n#thhs-referral .tr-sec.tr-cardwrap{padding-bottom:6px;}\r\n.thhs-formzone{background:#ede0c8;}\r\n.thhs-formzone > .elementor-widget-container{max-width:1120px;margin:0 auto;padding:0 24px 64px;}\r\n.thhs-formzone .fluentform{background:#fdfbf5;border:1px solid #cdbfa4;position:relative;padding:26px 24px 28px;box-shadow:0 1px 0 #cdbfa4,0 14px 28px rgba(45,32,16,.10);}\r\n.thhs-formzone .fluentform:before{content:'';position:absolute;left:0;top:0;bottom:0;width:34px;border-right:1px 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.ff-message-success,.thhs-formzone .ff_submitting_msg{font-family:'Courier Prime',monospace;color:#1d3446;border:1px solid #cdbfa4;background:#fdfbf5;padding:16px;}\r\n@media(max-width:640px){.thhs-formzone .fluentform form{padding-left:26px;}}\r\n.thhs-formzone .frm-fluent-form .ff-btn-submit.ff_btn_style{background:#1d3446 !important;color:#faf7f0 !important;border:0 !important;border-radius:0 !important;font-family:'Special Elite',cursive !important;letter-spacing:.04em;padding:14px 26px !important;font-size:1rem !important;box-shadow:none !important;}\n.thhs-formzone .frm-fluent-form .ff-btn-submit.ff_btn_style:hover{background:#c8543a !important;}\n.thhs-formzone .ff-el-group{margin-bottom:20px;}\n.thhs-formzone .ff-el-section-title,.thhs-formzone .ff-section-break h3{font-family:'Special Elite',cursive !important;color:#1d3446 !important;font-size:1.02rem !important;margin:30px 0 4px !important;border-bottom:2px solid #1d3446;padding-bottom:8px;}\n.thhs-formzone .ff-section-break p,.thhs-formzone .ff-section-break .ff-section_break_desk{font-family:'Courier Prime',monospace;font-size:.84rem;color:#4b4033;margin-top:6px;}\n.thhs-formzone .ff-el-form-check{margin:7px 0;}\n.thhs-formzone .ff-el-form-check label,.thhs-formzone .ff-el-form-check-label{font-family:'Courier Prime',monospace !important;font-size:.92rem !important;color:#2a2118 !important;text-transform:none !important;letter-spacing:0 !important;font-weight:400 !important;line-height:1.45;}\n.thhs-formzone input[type='checkbox'],.thhs-formzone input[type='radio']{accent-color:#c8543a;margin-right:9px;transform:translateY(1px);}\n.thhs-formzone .ff-el-help-message{font-family:'Courier Prime',monospace !important;font-size:.78rem !important;color:#6f6152 !important;font-style:italic;margin-top:5px;}\n.thhs-formzone .ff-el-is-error .ff-el-form-control{border-bottom-color:#c8543a;}\n.thhs-formzone .error.text-danger,.thhs-formzone .ff-el-is-error .text-danger{font-family:'Courier Prime',monospace;font-size:.78rem;color:#c8543a;}\n.thhs-note{border:1px solid #cdbfa4;background:#f3ece0;padding:14px 16px;font-family:'Courier Prime',monospace;font-size:.86rem;line-height:1.6;color:#2a2118;margin:4px 0 20px;}\n.thhs-note-warn{border-left:4px solid #c8543a;background:#f8ece7;}\n.thhs-note strong{font-family:'Special Elite',cursive;letter-spacing:.02em;color:#1d3446;}\n<\/style>\r\n\r\n<div id=\"thhs-referral\">\r\n\r\n  <div class=\"tr-sec tr-hero\">\r\n    <div class=\"tr-wrap\">\r\n      <p class=\"tr-eyebrow\">For transfers from another agency<\/p>\r\n      <h1 class=\"tr-h1\">Switching agencies?<br>We&rsquo;ll make it smooth.<\/h1>\r\n      <p class=\"tr-lede\">Tender Hand is a small, family-owned agency serving adults with developmental\r\n        disabilities across New Jersey. You&rsquo;ll speak with a nurse, not a call center.<\/p>\r\n      <p class=\"tr-response\">We respond to every transfer request within <b>24 hours<\/b>.<\/p>\r\n      <div class=\"tr-actions\">\r\n        <a class=\"tr-btn tr-btn-primary\" href=\"#tr-refer\">Start a transfer<\/a>\r\n        <a class=\"tr-btn tr-btn-secondary\" href=\"#tr-how\">See how it works<\/a>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n\r\n  <div class=\"tr-sec tr-glance\">\r\n    <div class=\"tr-wrap\">\r\n      <p class=\"tr-eyebrow\">At a glance<\/p>\r\n      <h2 class=\"tr-h2\">What we cover.<\/h2>\r\n      <dl class=\"tr-facts\">\r\n        <div class=\"tr-fact\"><dt>Counties served<\/dt>\r\n          <dd>Bergen &middot; Essex &middot; Hudson &middot; Hunterdon &middot; Mercer &middot; Middlesex &middot;\r\n              Monmouth &middot; Morris &middot; Passaic &middot; Somerset &middot; Union<\/dd><\/div>\r\n        <div class=\"tr-fact\"><dt>Programs<\/dt><dd>DDD Supports Program &middot; Community Care Program<\/dd><\/div>\r\n        <div class=\"tr-fact\"><dt>Current capacity<\/dt>\r\n          <dd>Accepting new referrals\r\n            <span class=\"tr-stamp\">Updated July 2, 2026<\/span><\/dd><\/div>\r\n        <div class=\"tr-fact\"><dt>Clinical oversight<\/dt><dd>Nurse-led. RN and NP on the founding team.<\/dd><\/div>\r\n        <div class=\"tr-fact\"><dt>Services<\/dt><dd>DSP support &middot; Community-based supports &middot; Respite &middot; Skilled nursing<\/dd><\/div>\r\n        <div class=\"tr-fact\"><dt>Languages<\/dt><dd>English &middot; Spanish &middot; Arabic &middot; Hindi<\/dd><\/div>\r\n      <\/dl>\r\n    <\/div>\r\n  <\/div>\r\n\r\n  <div class=\"tr-sec\" id=\"tr-how\">\r\n    <div class=\"tr-wrap\">\r\n      <p class=\"tr-eyebrow\">The process<\/p>\r\n      <h2 class=\"tr-h2\">Three steps, no runaround.<\/h2>\r\n      <div class=\"tr-steps\">\r\n        <div class=\"tr-step\">\r\n          <div>\r\n            <h3>You send the basics<\/h3>\r\n            <p>County, program, current agency, and what isn&rsquo;t working. Nothing that identifies the individual &mdash; we&rsquo;ll gather that on the call.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n        <div class=\"tr-step\">\r\n          <div>\r\n            <h3>A nurse calls you back<\/h3>\r\n            <p>Within 24 hours. We talk through timing, overlap, and whether the current DSP can come across too.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n        <div class=\"tr-step\">\r\n          <div>\r\n            <h3>We plan the handover<\/h3>\r\n            <p>No gap in coverage. Where the family wants continuity and the DSP is willing, we work to bring that person with them.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n\r\n  <div class=\"tr-sec tr-cardwrap\" id=\"tr-refer\">\r\n    <div class=\"tr-wrap\">\r\n      <p class=\"tr-eyebrow\">Request a transfer<\/p>\r\n      <h2 class=\"tr-h2\">No names. No clinical detail.<\/h2>\n<p class=\"tr-lede\" style=\"margin-top:14px\">This form is deliberately free of protected health information. Tell us the county, the program, and what isn&rsquo;t working now &mdash; a nurse collects the rest on the call. The plan moves in iRecord: update the provider on the ISP and it follows the individual across to us.<\/p>\r\n\r\n      \r\n      \r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n\t\t\t\t<\/div>\n\t\t\n<\/div>\n\t\t<div class=\"elementor-element elementor-element-7cae45e thhs-formzone elementor-widget elementor-widget-shortcode\" data-id=\"7cae45e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class='fluentform ff-default fluentform_wrapper_12 ffs_default_wrap'><form data-form_id=\"12\" id=\"fluentform_12\" class=\"frm-fluent-form fluent_form_12 ff-el-form-top ff_form_instance_12_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_12_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Referral \u2014 Agency Transfer<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='3288' \/><input type=\"hidden\" id=\"_fluentform_12_fluentformnonce\" name=\"_fluentform_12_fluentformnonce\" value=\"1198bce3d8\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/3288\" \/><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-12_1\" ><div class=\"thhs-note thhs-note-warn\"><strong>Please do not enter protected health information.<\/strong> No names, dates of birth, Medicaid or DDD ID numbers, diagnoses, or medical detail. Use your own case reference below. Once we accept, the plan moves to us through iRecord &mdash; you never need to email it.<\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-12_2\" ><h3 class='ff-el-section-title'>About you<\/h3><div class='ff-section_break_desk'>So we know who to call back.<\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_tr_name' id='label_ff_12_tr_name' >Your name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"tr_name\" class=\"ff-el-form-control\" placeholder=\"First and last name\" data-name=\"tr_name\" id=\"ff_12_tr_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_tr_role' id='label_ff_12_tr_role' aria-label=\"Your role\">Your role<\/label><\/div><div class='ff-el-input--content'><select name=\"tr_role\" id=\"ff_12_tr_role\" class=\"ff-el-form-control\" placeholder=\"Select your role\" data-name=\"tr_role\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_12_tr_role\"><option value=\"\">Select your role<\/option><option value=\"Support Coordinator\"  >Support Coordinator<\/option><option value=\"Current provider staff\"  >Current provider staff<\/option><option value=\"Agency administrator\"  >Agency administrator<\/option><option value=\"Family member or guardian\"  >Family member or guardian<\/option><option value=\"Other\"  >Other<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_tr_org' id='label_ff_12_tr_org' aria-label=\"Agency or organization\">Agency or organization<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"tr_org\" class=\"ff-el-form-control\" placeholder=\"If applicable\" data-name=\"tr_org\" id=\"ff_12_tr_org\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_tr_email' id='label_ff_12_tr_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"tr_email\" id=\"ff_12_tr_email\" class=\"ff-el-form-control\" placeholder=\"you@agency.org\" data-name=\"tr_email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_tr_phone' id='label_ff_12_tr_phone' aria-label=\"Phone\">Phone<\/label><\/div><div class='ff-el-input--content'><input type=\"tel\" name=\"tr_phone\" class=\"ff-el-form-control\" placeholder=\"Where we can reach you directly\" data-name=\"tr_phone\" id=\"ff_12_tr_phone\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-12_3\" ><h3 class='ff-el-section-title'>The transfer<\/h3><div class='ff-section_break_desk'>What we need to plan continuity \u2014 without identifying anyone.<\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_case_ref' id='label_ff_12_case_ref' aria-label=\"Your case reference\">Your case reference<\/label><\/div><div class='ff-el-input--content'><div class=\"ff-el-help-message ff_ahm\">Use your internal reference. Please do not enter the individual\u2019s name.<\/div><input type=\"text\" name=\"case_ref\" class=\"ff-el-form-control\" placeholder=\"Your own file or case number\" data-name=\"case_ref\" id=\"ff_12_case_ref\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_county' id='label_ff_12_county' aria-label=\"County where services are delivered\">County where services are delivered<\/label><\/div><div class='ff-el-input--content'><select name=\"county\" id=\"ff_12_county\" class=\"ff-el-form-control\" placeholder=\"Select a county\" data-name=\"county\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_12_county\"><option value=\"\">Select a county<\/option><option value=\"Bergen\"  >Bergen<\/option><option value=\"Essex\"  >Essex<\/option><option value=\"Hudson\"  >Hudson<\/option><option value=\"Hunterdon\"  >Hunterdon<\/option><option value=\"Mercer\"  >Mercer<\/option><option value=\"Middlesex\"  >Middlesex<\/option><option value=\"Monmouth\"  >Monmouth<\/option><option value=\"Morris\"  >Morris<\/option><option value=\"Passaic\"  >Passaic<\/option><option value=\"Somerset\"  >Somerset<\/option><option value=\"Union\"  >Union<\/option><option value=\"Somewhere else in New Jersey\"  >Somewhere else in New Jersey<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Program\">Program<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='program_13a5389245d3273a191ea06b88ebfb7d'><input  type=\"radio\" name=\"program\" data-name=\"program\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Supports Program\"  id='program_13a5389245d3273a191ea06b88ebfb7d' aria-label='Supports Program' aria-invalid='false' aria-required=true> <span>Supports Program<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='program_fe0b8aeb6ef14846e29604a5537d2323'><input  type=\"radio\" name=\"program\" data-name=\"program\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Community Care Program\"  id='program_fe0b8aeb6ef14846e29604a5537d2323' aria-label='Community Care Program' aria-invalid='false' aria-required=true> <span>Community Care Program<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='program_ded52e11e05199af7b8205cc17bb627b'><input  type=\"radio\" name=\"program\" data-name=\"program\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Self-directed budget (fiscal intermediary)\"  id='program_ded52e11e05199af7b8205cc17bb627b' aria-label='Self-directed budget (fiscal intermediary)' aria-invalid='false' aria-required=true> <span>Self-directed budget (fiscal intermediary)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='program_dd4f519e578b94fa3148d5fb7a997169'><input  type=\"radio\" name=\"program\" data-name=\"program\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Private pay\"  id='program_dd4f519e578b94fa3148d5fb7a997169' aria-label='Private pay' aria-invalid='false' aria-required=true> <span>Private pay<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='program_00eb70f331d6901ace7419258d43ef05'><input  type=\"radio\" name=\"program\" data-name=\"program\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not sure yet\"  id='program_00eb70f331d6901ace7419258d43ef05' aria-label='Not sure yet' aria-invalid='false' aria-required=true> <span>Not sure yet<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_current_agency' id='label_ff_12_current_agency' aria-label=\"Current agency\">Current agency<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"current_agency\" class=\"ff-el-form-control\" placeholder=\"Who is providing services now\" data-name=\"current_agency\" id=\"ff_12_current_agency\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Reason for transfer\">Reason for transfer<\/label><\/div><div class='ff-el-input--content'><div class=\"ff-el-help-message ff_ahm\">High level only. No incident detail or clinical reasons \u2014 we\u2019ll discuss on the call.<\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='reason_7b5dd265668bbb4620b5405f9c05bd3c'><input  type=\"checkbox\" name=\"reason[]\" data-name=\"reason\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Staffing gaps or inconsistent coverage\"  id='reason_7b5dd265668bbb4620b5405f9c05bd3c' aria-label='Staffing gaps or inconsistent coverage' aria-invalid='false' aria-required=true> <span>Staffing gaps or inconsistent coverage<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='reason_93022b3de2a14a099a58bec0676b3e74'><input  type=\"checkbox\" name=\"reason[]\" data-name=\"reason\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Schedule cannot be met\"  id='reason_93022b3de2a14a099a58bec0676b3e74' aria-label='Schedule cannot be met' aria-invalid='false' aria-required=true> <span>Schedule cannot be met<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='reason_10a1195750d17e43fdf5c551aba6d5b3'><input  type=\"checkbox\" name=\"reason[]\" data-name=\"reason\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Quality concerns\"  id='reason_10a1195750d17e43fdf5c551aba6d5b3' aria-label='Quality concerns' aria-invalid='false' aria-required=true> <span>Quality concerns<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='reason_db80c958d50a043134229f17830a3bfc'><input  type=\"checkbox\" name=\"reason[]\" data-name=\"reason\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Individual or family preference\"  id='reason_db80c958d50a043134229f17830a3bfc' aria-label='Individual or family preference' aria-invalid='false' aria-required=true> <span>Individual or family preference<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='reason_90c31ccd89ebe1209bcf825f1199fcfc'><input  type=\"checkbox\" name=\"reason[]\" data-name=\"reason\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Relocation\"  id='reason_90c31ccd89ebe1209bcf825f1199fcfc' aria-label='Relocation' aria-invalid='false' aria-required=true> <span>Relocation<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='reason_be24747acb44e024895bbf67557c2891'><input  type=\"checkbox\" name=\"reason[]\" data-name=\"reason\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Agency is closing or exiting the program\"  id='reason_be24747acb44e024895bbf67557c2891' aria-label='Agency is closing or exiting the program' aria-invalid='false' aria-required=true> <span>Agency is closing or exiting the program<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='reason_2d07d231d77173c5617c3934667d1e04'><input  type=\"checkbox\" name=\"reason[]\" data-name=\"reason\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Other\"  id='reason_2d07d231d77173c5617c3934667d1e04' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Is the current agency aware of this transfer?\">Is the current agency aware of this transfer?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='agency_aware_2ff39dc93b21550eb4cd657e99a81965'><input  type=\"radio\" name=\"agency_aware\" data-name=\"agency_aware\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='agency_aware_2ff39dc93b21550eb4cd657e99a81965' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='agency_aware_bcdebc734d73faf5238db5879c5d131b'><input  type=\"radio\" name=\"agency_aware\" data-name=\"agency_aware\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not yet\"  id='agency_aware_bcdebc734d73faf5238db5879c5d131b' aria-label='Not yet' aria-invalid='false' aria-required=true> <span>Not yet<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='agency_aware_2b13136b1241a063629eae8bdb7db55f'><input  type=\"radio\" name=\"agency_aware\" data-name=\"agency_aware\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='agency_aware_2b13136b1241a063629eae8bdb7db55f' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='agency_aware_378b2806acbf61b6a9ab2d75a09a9b0b'><input  type=\"radio\" name=\"agency_aware\" data-name=\"agency_aware\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not sure\"  id='agency_aware_378b2806acbf61b6a9ab2d75a09a9b0b' aria-label='Not sure' aria-invalid='false' aria-required=true> <span>Not sure<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_target_date' id='label_ff_12_target_date' aria-label=\"Target transfer date\">Target transfer date<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Target transfer date Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='m\/d\/Y' type=\"text\" name=\"target_date\" id=\"ff_12_target_date\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"target_date\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Services to continue\">Services to continue<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='services_a8376465b1ade0905d0ba8da008bd897'><input  type=\"checkbox\" name=\"services[]\" data-name=\"services\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Individual Supports\"  id='services_a8376465b1ade0905d0ba8da008bd897' aria-label='Individual Supports' aria-invalid='false' aria-required=true> <span>Individual Supports<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='services_97f085b36d6226bab7a0bf747b0acb9a'><input  type=\"checkbox\" name=\"services[]\" data-name=\"services\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Community-Based Supports\"  id='services_97f085b36d6226bab7a0bf747b0acb9a' aria-label='Community-Based Supports' aria-invalid='false' aria-required=true> <span>Community-Based Supports<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='services_c357daddedf61b588db6034a9d062d6a'><input  type=\"checkbox\" name=\"services[]\" data-name=\"services\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Respite\"  id='services_c357daddedf61b588db6034a9d062d6a' aria-label='Respite' aria-invalid='false' aria-required=true> <span>Respite<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='services_1d1ff5370668a7806abf3fdc641cc17e'><input  type=\"checkbox\" name=\"services[]\" data-name=\"services\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Skill Development \/ Pre-vocational\"  id='services_1d1ff5370668a7806abf3fdc641cc17e' aria-label='Skill Development \/ Pre-vocational' aria-invalid='false' aria-required=true> <span>Skill Development \/ Pre-vocational<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='services_6859cd3e88cf061feeb56bd994ed093f'><input  type=\"checkbox\" name=\"services[]\" data-name=\"services\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Skilled Nursing\"  id='services_6859cd3e88cf061feeb56bd994ed093f' aria-label='Skilled Nursing' aria-invalid='false' aria-required=true> <span>Skilled Nursing<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='services_c83df0905f9c61b8c827a12b861663ea'><input  type=\"checkbox\" name=\"services[]\" data-name=\"services\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Behavioral health \/ counseling\"  id='services_c83df0905f9c61b8c827a12b861663ea' aria-label='Behavioral health \/ counseling' aria-invalid='false' aria-required=true> <span>Behavioral health \/ counseling<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='services_ec36e350d1b2132798f7f0f162c55b7f'><input  type=\"checkbox\" name=\"services[]\" data-name=\"services\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Not sure yet\"  id='services_ec36e350d1b2132798f7f0f162c55b7f' aria-label='Not sure yet' aria-invalid='false' aria-required=true> <span>Not sure yet<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_hours' id='label_ff_12_hours' aria-label=\"Approximate hours per week\">Approximate hours per week<\/label><\/div><div class='ff-el-input--content'><select name=\"hours\" id=\"ff_12_hours\" class=\"ff-el-form-control\" placeholder=\"Select a range\" data-name=\"hours\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_12_hours\"><option value=\"\">Select a range<\/option><option value=\"Under 10 hours\"  >Under 10 hours<\/option><option value=\"10-20 hours\"  >10-20 hours<\/option><option value=\"20-30 hours\"  >20-30 hours<\/option><option value=\"30-40 hours\"  >30-40 hours<\/option><option value=\"40+ hours\"  >40+ hours<\/option><option value=\"Not sure yet\"  >Not sure yet<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"DSP continuity\">DSP continuity<\/label><\/div><div class='ff-el-input--content'><div class=\"ff-el-help-message ff_ahm\">If a DSP is willing to move with the individual, we will try to make that work.<\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='dsp_continuity_4a0632162af57f25e566975480f93ab0'><input  type=\"radio\" name=\"dsp_continuity\" data-name=\"dsp_continuity\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"The family hopes to keep the current DSP if possible\"  id='dsp_continuity_4a0632162af57f25e566975480f93ab0' aria-label='The family hopes to keep the current DSP if possible' aria-invalid='false' aria-required=false> <span>The family hopes to keep the current DSP if possible<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='dsp_continuity_efff73233e15c208dda3a40816ca9e3c'><input  type=\"radio\" name=\"dsp_continuity\" data-name=\"dsp_continuity\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"New staff is fine\"  id='dsp_continuity_efff73233e15c208dda3a40816ca9e3c' aria-label='New staff is fine' aria-invalid='false' aria-required=false> <span>New staff is fine<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='dsp_continuity_24c1c18f1d456d03543d7b679f9eab3b'><input  type=\"radio\" name=\"dsp_continuity\" data-name=\"dsp_continuity\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not sure yet\"  id='dsp_continuity_24c1c18f1d456d03543d7b679f9eab3b' aria-label='Not sure yet' aria-invalid='false' aria-required=false> <span>Not sure yet<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_language' id='label_ff_12_language' aria-label=\"Preferred language\">Preferred language<\/label><\/div><div class='ff-el-input--content'><select name=\"language\" id=\"ff_12_language\" class=\"ff-el-form-control\" placeholder=\"Select a language\" data-name=\"language\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_12_language\"><option value=\"\">Select a language<\/option><option value=\"English\"  >English<\/option><option value=\"Spanish\"  >Spanish<\/option><option value=\"Arabic\"  >Arabic<\/option><option value=\"Hindi\"  >Hindi<\/option><option value=\"Other \/ not listed\"  >Other \/ not listed<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_notes' id='label_ff_12_notes' aria-label=\"Anything else we should know?\">Anything else we should know?<\/label><\/div><div class='ff-el-input--content'><div class=\"ff-el-help-message ff_ahm\">Please leave out names, dates of birth, ID numbers, diagnoses, and medical detail.<\/div><textarea aria-required=\"false\" aria-labelledby=\"label_ff_12_notes\" name=\"notes\" id=\"ff_12_notes\" class=\"ff-el-form-control\" placeholder=\"Timing, overlap, family preferences...\" rows=\"4\" cols=\"2\" data-name=\"notes\" ><\/textarea><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-12_4\" ><h3 class='ff-el-section-title'>Moving the plan<\/h3><div class='ff-section_break_desk'>How the ISP follows the individual across to us.<\/div><hr \/><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-12_5\" ><div class=\"thhs-note\"><strong>The plan moves in iRecord. Don't email it.<\/strong><br>On a transfer, the ISP follows the individual when the provider is updated in iRecord. Once Tender Hand is added we pull the plan, service detail and budget from there. To add us you'll need:<br><br>Tender Hand Healthcare Services<br>DDD Provider ID <strong>1070070<\/strong> &middot; NPI <strong>1871351197<\/strong><br><br>Please don't attach the ISP or service documents to email. This form and ordinary email are not secure channels for protected health information.<\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Has the ISP been updated in iRecord?\">Has the ISP been updated in iRecord?<\/label><\/div><div class='ff-el-input--content'><div class=\"ff-el-help-message ff_ahm\">If you are a family member or guardian, your Support Coordinator handles this \u2014 choose Not sure and we will contact them.<\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='irecord_status_441aff25a52a8d772353e87d51f96678'><input  type=\"radio\" name=\"irecord_status\" data-name=\"irecord_status\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes \u2014 Tender Hand already added\"  id='irecord_status_441aff25a52a8d772353e87d51f96678' aria-label='Yes \u2014 Tender Hand already added' aria-invalid='false' aria-required=true> <span>Yes \u2014 Tender Hand already added<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='irecord_status_5ff9995379a8f357c427846b2fbe1fd3'><input  type=\"radio\" name=\"irecord_status\" data-name=\"irecord_status\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not yet \u2014 I will update it once you accept\"  id='irecord_status_5ff9995379a8f357c427846b2fbe1fd3' aria-label='Not yet \u2014 I will update it once you accept' aria-invalid='false' aria-required=true> <span>Not yet \u2014 I will update it once you accept<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='irecord_status_ba774c32a241cdef4b3a3c3cdf3b464d'><input  type=\"radio\" name=\"irecord_status\" data-name=\"irecord_status\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not applicable \u2014 private pay or self-directed\"  id='irecord_status_ba774c32a241cdef4b3a3c3cdf3b464d' aria-label='Not applicable \u2014 private pay or self-directed' aria-invalid='false' aria-required=true> <span>Not applicable \u2014 private pay or self-directed<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='irecord_status_9844653e2aac9789b1c04ea40299767b'><input  type=\"radio\" name=\"irecord_status\" data-name=\"irecord_status\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not sure\"  id='irecord_status_9844653e2aac9789b1c04ea40299767b' aria-label='Not sure' aria-invalid='false' aria-required=true> <span>Not sure<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Before you send\">Before you send<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='no_phi_confirm_c98d66a1a0d2458459224113c2111760'><input  type=\"checkbox\" name=\"no_phi_confirm[]\" data-name=\"no_phi_confirm\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"I confirm this referral contains no name, date of birth, Medicaid or DDD ID, diagnosis, or medical information.\"  id='no_phi_confirm_c98d66a1a0d2458459224113c2111760' aria-label='I confirm this referral contains no name, date of birth, Medicaid or DDD ID, diagnosis, or medical information.' aria-invalid='false' aria-required=true> <span>I confirm this referral contains no name, date of birth, Medicaid or DDD ID, diagnosis, or medical information.<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Send transfer referral\">Send transfer referral<\/button><\/div><\/fieldset><\/form><div id='fluentform_12_errors' class='ff-errors-in-stack ff_form_instance_12_1 ff-form-loading_errors ff_form_instance_12_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_12_1 = {\"id\":\"12\",\"ajaxUrl\":\"https:\\\/\\\/thhs.care\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"asteriskPlacement\":\"asterisk-right\",\"helpMessagePlacement\":\"after_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_12_1\",\"form_id_selector\":\"fluentform_12\",\"rules\":{\"tr_name\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"tr_role\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"tr_org\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is 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required\",\"global_message\":\"This field is required\",\"global\":true}},\"reason\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"agency_aware\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"target_date\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"services\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"hours\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"dsp_continuity\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"language\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"notes\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"irecord_status\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"no_phi_confirm\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}}},\"debounce_time\":300,\"file_upload_settings\":[]};\n                            <\/script>\n            <\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a8d9e72 elementor-widget elementor-widget-html\" data-id=\"a8d9e72\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div id=\"thhs-referral\">\n<div class=\"tr-sec tr-cardwrap\" style=\"padding-top:0\">\n  <div class=\"tr-wrap\">\n    <p class=\"tr-or\">Call \/ Text <a href=\"tel:+18483168540\">848-316-8540<\/a> or email <a href=\"mailto:info@thhs.care\">info@thhs.care<\/a>. Someone answers.<\/p>\n  <\/div>\n<\/div>\n<div class=\"tr-sec tr-promise\">\n  <div class=\"tr-wrap\">\n    <p>We pay our DSPs a livable wage and give them the schedule we promised them. That&rsquo;s why the person caring for someone you love keeps the same familiar face.<\/p>\n    <span class=\"tr-sig\">From the Tender Hand Ledger of Promises<\/span>\n  <\/div>\n<\/div>\n<div class=\"tr-foot\">\n  <div class=\"tr-wrap\">\n    <div class=\"tr-rule\"><\/div>\n    <p><strong>Tender Hand Healthcare Services<\/strong> &mdash; Licensed by NJ DHS &middot; N.J.A.C. 10:44A. NPI 1871351197 &middot; DDD Provider ID 1070070. Serving 11 New Jersey counties under the Division of Developmental Disabilities.<\/p>\n    <p>50 Division St, Suite 501, Somerville, NJ 08876 &middot; <a href=\"tel:+18483168540\" style=\"color:var(--coral)\">848-316-8540<\/a> &middot; <a href=\"mailto:info@thhs.care\" style=\"color:var(--coral)\">info@thhs.care<\/a><\/p>\n  <\/div>\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\n<\/div>\n\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>For transfers from another agency Switching agencies?We&rsquo;ll make it smooth. Tender Hand is a small, family-owned agency serving adults with developmental disabilities across New Jersey. You&rsquo;ll speak with a nurse, not a call center. We respond to every transfer request within 24 hours. Start a transfer See how it works At a glance What we [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1085,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-3288","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/thhs.care\/es\/wp-json\/wp\/v2\/pages\/3288","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thhs.care\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/thhs.care\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/thhs.care\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/thhs.care\/es\/wp-json\/wp\/v2\/comments?post=3288"}],"version-history":[{"count":10,"href":"https:\/\/thhs.care\/es\/wp-json\/wp\/v2\/pages\/3288\/revisions"}],"predecessor-version":[{"id":3369,"href":"https:\/\/thhs.care\/es\/wp-json\/wp\/v2\/pages\/3288\/revisions\/3369"}],"up":[{"embeddable":true,"href":"https:\/\/thhs.care\/es\/wp-json\/wp\/v2\/pages\/1085"}],"wp:attachment":[{"href":"https:\/\/thhs.care\/es\/wp-json\/wp\/v2\/media?parent=3288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}