IHC-Referrals

Referral Forms

We Welcome Your Referrals!

To refer a client to IHC, please complete and submit the IHC Consultation and Referral Form along with any relevant information pertaining to your referral. While this form accepts electronic entry, under HIPPA compliance, please save, print and fax to 616.532.3046. The form is not designed to automatically distribute data.

For additional information on making a referral, please call (616) 773-2908.

If you are a provider and would like hard copies of the above forms to administer and refer, please contact our office at 616.773-2908.

 

 

 
1843 RW BERENDS Dr SW WYOMING, MI 49519
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