If you are a physician looking to refer a patient, please download and print our Physician Referral Form here >> Physician Referral Form.

What happens next?

• After you fill out, sign and date the form, please fax it to our Intake Department at 802-223-6835.
• Due to high fax volume, some faxes do not get through. If a referral is urgent, please call our Intake Department at 802-224-2211 to confirm that the fax was received. In general, a confirmation call is always the safest option to confirm faxes went through.
• We review all referrals. If something is unclear or missing, one of our intake nurses will call your office.
• If all of the information is present, we will process the referral and send it to the appropriate visiting staff.