Please do not include Protected Health Information (PHI) in this form.

After you submit your referral request, TruHealth will contact your office within 1 business day to discuss the referral, confirm fit, obtain appropriate consent, and coordinate secure next steps.

1. Submit a referral request
Complete the brief form below. Please do not include PHI.

2. TruHealth contacts your office
We will follow up within 1 business day.

3. Consent & intake
Appropriate consent and secure intake will be coordinated before care begins.

4. Care management begins
We provide individualized support and communicate with the care team as agreed upon.