Process of referral

Eligible individuals must be referred to the PEACE Program by case managers or support staff who work:

• In facilities for people experiencing homelessness, such as shelters and Safe Havens.
• In OHS or the Department of Behavioral Health and Intellectual disAbility Services’ (DBHIDS) housing programs, when individuals’ need for medical care has increased.
• With individuals experiencing homelessness or behavioral health challenges in special circumstances as determined by OHS and DBHIDS. (Examples include staff who work with individuals who have been released from prison, discharged from hospitals, or are sleeping outdoors.)

For more information, see the PEACE Program guide.

Submitting a referral

1

Gather the individual’s basic demographic and health information.

2

Complete the PEACE electronic referral form.

3

Send the individual's medical evaluation forms and behavioral health notes to OHS.

You’ll need to submit the following documentation:

• PA MA-51 Medical Evaluation (PDF)
• Documentation of Medical Evaluation (PDF)
• Behavioral health notes

Scan and email the files to ohspeace@phila.gov with the individual’s initials in the subject line.