Provider Referral
Referrals Accepted 7 Days a Week
We accept referrals by secure fax or phone. Use our form or send your standard ADT packet—whatever is fastest for you.
How to Refer a Patient
- Fax the patient packet to: (619) 810-7969, including:
- Face Sheet / ADT
- History & Physical (H&P)
- Discharge / Transfer Summary
- Medication List
- Any orders
- Or call us for immediate coordination: (619) 663-7999
- We will verify insurance and schedule start of care within 24–48 hours whenever possible.
Physician signature/orders will be obtained separately if required. Use our form or send your standard discharge packet.
Fax
(619) 810-7969
Phone
(619) 663-7999
Referral Form (PDF)
Prefer a structured cover sheet? Download our one-page referral form and fax it with the ADT packet.
⬇️ Download Referral Form
Use this form OR send your standard discharge packet.