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Referral Services

I’m a provider, looking to refer to SEARHC:

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 you or your team has questions, please contact the relevant service line via the phone number listed on our website. For a full list of commonly referred services, view our Specialty Services Referral Guide to understand more about services offered & required documentation.

If fax is a preferred method of information exchange, please note the unique service line fax number on the online form (select your desired service line to view the fax number).

If you have an urgent patient need (<72 hours), please do not submit the form; instead, contact the service line via the number listed on our website.

Otherwise, please fill out the online form.

I’m a patient, looking for information about my referral:

What is a referral?

A referral is an order from a medical professional for a patient to see a specialist or receive certain medical services, usually sent with documentation to support the requested services. Referrals are required by most health insurance companies to ensure that patients are seeing the correct providers for problems that have been deemed medically necessary. Failure to obtain the necessary referral before seeking specialty care can result in coverage being denied by insurance, and costs being passed on directly to the patient.

How do I know if I need a referral for the service I am seeking?

Your need for a referral depends on what type of health plan/coverage you have.

  • Medicaid coverage – Your Primary Care Provider would determine your need for a referral.
  • VA/Tricare – ALL services require a referral from a primary care provider
  • Private insurance – Your need for a referral would be determined by your health plan and your Primary Care Provider.

In summary, Referrals typically apply when a patient is seeking specialty medical treatment; however, each insurance plan is different, with some requiring a referral before receiving treatment from anyone except your primary care doctor. If you’re not sure, contact your insurance or your primary care doctor to clarify. This will help prevent unexpected or out of network costs in future.

To learn more about SEARHC’s standard charges for services, visit our Price Transparency page.

Can I refer myself for a service?

The services needed and your health plan/coverage may determine your ability to self- refer. It is best to contact your Primary Care Provider to verify.

I am looking for information on a referral I know has been sent to SEARHC:

  • If a provider has told you a referral will be made and you have not heard anything within the last two weeks, please call your primary care provider to check on the status of your referral.
  • If you have been assured that your provider has submitted a referral to SEARHC, please contact the service line you have been referred to at the number listed on that service page.

To submit a referral, please fill out this form.

To make an appointment as a first time SEARHC patient, please request an appointment here.

To make a primary care appointment as an existing SEARHC patient, please contact your local clinic.