For referring agencies
Refer a client — quickly and securely.
Case managers, hospital discharge planners, schools, primary care providers, and community partners can refer clients through our secure form. Our intake team responds within one business day.
Do not email client information.
To protect client privacy, please use the secure HIPAA-compliant form below. Email is not a secure channel for protected health information.
- 1
Submit the secure form
Complete the HIPAA-compliant referral form with the client's basic information and reason for referral.
- 2
We contact the referrer
Our intake team reviews the referral and reaches out to you — typically within one business day.
- 3
Client is scheduled
We coordinate scheduling and intake directly with the client, keeping you informed of next steps.
Secure HIPAA Referral Form
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Questions about a referral?
Our intake coordinator is happy to help. Please do not include client health information in email or voicemail.