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REFER TO RELIEF

At Relief, we aim to make our referral process as easy as possible. Anyone can make a referral, and we work directly with the patient's provider to create an appropriate care plan based on our nurses' assessment. 

If you have any questions about the referral process, please call us and ask to speak with our Intake Department. 

As a tool, we've also put together a resource where you can check to see if we take a particular insurance plan. Click here to find out, and don't hesitate to reach out if you have any questions. 

REFER TO RELIEF

At Relief, we aim to make our referral process as easy as possible. Anyone can make a referral and we work directly with the patient's provider to create an appropriate care plan based on the nurse's assessment. 

If you have any questions about the referral process feel free to give us a call and ask to speak with our Intake Department.

Nurse with Protective Mask

Please take a moment to fill out the form. The fillable version of our form is provided for ease, but please note that fax is still the most secure way to share patient information. 

Thanks for submitting!

If you'd prefer to fax your referral, please download the PDF version of our referral form.

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