Refer a Patient

Call our 24-hour referral hotline at 818-925-1451 or email info@harborcares.org and we’ll be happy to answer any questions and make sure they are a right fit. We also offer in-person assessments at your facility.

To get the process started:

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Complete the Online Referral Form below.

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Be ready to email us some pertinent patient information, including:

  • H & P notes
  • SW evaluations
  • PT notes
  • COVID test (within 24 hours)
  • Psych notes
  • Lab orders
  • Current medications

You may also email referrals to info@harborcares.org or fax referrals to
(818) 350-4105.

receptionist answering phone

Referral Form

Referral Contact Name
MM slash DD slash YYYY

Patient Information

Patient Name(Required)
Date of Birth
Gender
Select Level
MM slash DD slash YYYY

Approved

This field is for validation purposes and should be left unchanged.

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