Refer a Patient
Quick. Simple. Secure.
Who You Can Refer
How to Refer

Fill Up
Online Referral Form

Email:
referrals@regentshealthsvc.com

Fax
(XXX) XXX-XXXX

Referral App Access
Easy to referal

Provide
Patient name & contact info

Insurance
(Medicare or plan name)

Reason
Medical reason for referral

Recent discharge summary
Detail summary of recent discharge is really required

Documentation
Any supporting clinical documentation
Need Help?
Call us at (XXX) XXX-XXXX or [Contact Us Online]
Email us at info@regentshealthsvc.com