Patient Referral2020-11-24T15:35:45-04:00

Thank you for considering a patient referral.

We admit patients 24 hours a day, 7days a week. This referral will be compliant with HIPAA regulations and will be processed confidentially. To ensure a smooth and efficient admittance process, please provide the following information in the secure form below or call us at 800-245-4746.

Referral Form

Next Steps

  1. Livengrin will reach out to you before we contact the referred patient.
  2. Livengrin will contact the patient and use your name as the referring party.
    1. If we cannot reach you, we will contact the patient. By summiting this form, you are providing Livengrin with your approval to contact the patient.
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