Provider Referrals
Referral Instructions
- Click on the “SPA Referral Form” link below (DON’T CLICK THE DOWNLOAD BUTTON)
- Fill out the form online
- After the form is filled out, click the “print” icon in the top right corner (don’t worry, this will not print the document)
- Change the “Destination” to “Save as PDF”
- Click “Save“
- Upload the PDF & other chart notes (if available) below, under “Upload Referral Form & Other Documents here“
- After uploading documents and entering the contact information, click “SUBMIT“
IF THERE ARE ANY ISSUES, WE WILL CONTACT YOU