Easy Access to All Your Referral Needs
At Kenah One Health Care Services, we aim to make the referral process as seamless and straightforward as possible. Whether you’re a healthcare provider referring a patient or an individual seeking services, you can easily access and submit the necessary forms right here. Below, you’ll find the specific referral forms needed for different services. Please select the appropriate form, complete it with the required information, and submit it as instructed.
This form to refer a new patient to Kenah One Health Care Services. This form gathers essential information to help us understand the patient’s needs and ensure a smooth intake process..
This form is for referring patients to our Substance Treatment, designed for those who need more support than traditional outpatient care but do not require full hospitalization.
Use this form to refer patients to our Assertive Community Treatment (ACT) program, which offers comprehensive, community-based psychiatric treatment and support.
This form is for referring patients to our Psychiatric Rehabilitation Program (PRP), which focuses on helping individuals develop skills to manage their mental health and enhance their quality of life.