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Make a Referral 

For consideration of care, not a guarantee of care, .
Please note: We do NOT have access to EPIC, so please include all pertinent information.

Thank you! A member of our team will contact the client within two business days after reviewing the referral.

Please fax to 920-364-6096 any relevant medical records and an ROI* for the patient's PCP, OB/GYN, and/or other specialist(s) allowing C&CP to request records. ROI’s are not legally required per HIPAA harmonization rules, but many organizations still request them prior to sharing medical records. Obtaining the ROI helps us expedite the process.

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