Referrals

Refer to Elite Recovery

Elite Recovery accepts referrals from partner organizations. Please complete the following form for the individual you are referring.

For questions regarding the referral process, please feel free to contact us.

Referrals

    Referent Information

    Patient Information

    Patient's DOB:

    Policy Holder's DOB:

    Please attach documents here including assessment paperwork, medical records and progress notes.
    Paperwork may also be faxed to Tina, Treatment Director at (651) 846-6745.
    All files are encrypted per HIPAA regulations.
    Supported file types: .pdf, .doc, .docx, .jpg.
    Maximum upload size: 2MB.



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