Contact Us Refer a Beneficiary or Ask a Question Name*This is the name of the referring individual, not the proposed beneficiary. Self-referrals are not allowed.Email* Phone*Best time to call me at the above phone number:* Day Evening Message (Optional)Do not include the name of the proposed beneficiary in this message. That will be done confidentially over the phone.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ Have Questions? To ask questions or refer a beneficiary, complete the form on this page, send us an email, or give us a call. 718-928-6100 referrals@jarvie.org