Patient Resources

nurse with yellow uniformForms:

Referral Form

Patient Transfer Form

Referral Intake Sheet

Documentation of Face to Face Encounter

Our Commitment to you:

  • Every patient will receive the right care, at the right time, in the right setting.
  • We will deliver value driven, high quality compassionate care.
  • We will seek to improve the health status of all our patients.
  • We will value each patient and care for him or her with dignity, respect and privacy.
  • We will be available twenty-four hours a day, seven days a week to assist our patients with their needs.

Useful Links:
www.medicare.gov
www.healthcare.gov
www.stopmedicarefraud.gov

https://findtreatment.samhsa.gov/