Menu Home About Us Services Contact Us Patient Portal Create new patient Medical records room Provider Portal Personnel/Human resources Paperwork packets & templates Intakes and Referrals Make A Referral Claims & Billing Enter claims Search for a claim Telehealth About our telehealth services New Referral See instructions below for adding a new referral. Instructions 1. Click the ‘Download Form’ button to the right. 2. Complete form and fax it in to +1 844-800-1470 Download Form