FOR REFERRING AGENCIES / INDIVIDUALS
Submit a Referral
Referring Agencies / Individuals Only
- A client completes a Release of Information (ROI) authorizing the release of their medical records
- Please complete the required fields
- Referrals are typically processed within 1-2 business days
If you have your own referral form
Send us the standard referral usually submitted by your agency
If you need access to the Customer Portal
You must be part of a participating agency.
Please, have a supervisor level employee contact us.
Please, have a supervisor level employee contact us.