Please download our current referral package click below:
NEW / SHORTER REFERRAL PACKAGE (DEC 2018)
In an attempt to reduce barriers at the intake process, we have revised the referral package.
- The required package is now 8 pages in length. There are two optional pages for additional information.
- The referral can be completed electronically in Adobe Acrobat by clicking the “fill and sign tab”.
- The referral can be accessed through our website and faxed or emailed to us through our password protected form.
- Use this password to access and send document pkhse
Please ensure your referral package is current by downloading a new referral form. Old referral packages are no longer being accepted.