Thank you for choosing Eleanor Health to support the care of your patient!
This form is for healthcare providers to refer patients to our care. If you are an individual seeking care treatment for Substance Use Disorder, please fill out our contact form to learn more and receive a call back from our team.
There are several ways providers can refer a patient to us:
Please complete the form below to refer a patient to Eleanor Health’s outpatient addiction treatment program.
Thank you for trusting us with your referral. To help us provide updates on the individual’s care, kindly attach a Release of Information (ROI) form using the attachment feature below. We appreciate your partnership in supporting this patient’s journey to recovery.
We partner with most major insurance plans so treatment may be covered
Call today to speak to one of our recovery specialists. We are ready to listen, learn and offer support without judgment.