Refer a patient with our convenient, centralized web form.
SEARHC has a centralized online referral form, covering all service lines in all Southeast locations. Once submitted, the referral will be routed to the most appropriate provider. Our clinical team will then follow up with your team or your patient to ensure that they can easily secure an appointment in their preferred community.
If fax is a preferred method of information exchange, please note the unique service line fax number on the online form (see the instructions below).
If you have an urgent patient need (<72 hours), please do not submit the form; instead, contact the service line via the instructions below.