If you are experiencing symptoms of COVID-19, please call first. Your treatment center team will gladly work with you to assist you with your treatment needs.
Enter the patient contact information along with the referring organization and contact info below. We will reach out to the patient within 24 hours from receiving their information. If you need immediate assistance with a patient request, please call our 24-hour call center at 1-877-284-7074.
Thank you for your referral.