If you are a patient and would like HF Healthcare to service you, please fill out a referral form below. We offer several convenient options that allow you to complete the form.

Having technical problems or questions? Contact us here and let us know!

by phone

If you would like to send a referral over the phone, please call us toll-free at (866) 981-1171

by fax

If you would like to fax your referral, please download our CIF form and send it to our fax line at (805) 981-1121

by online form

Use our easy and secure online form below to send us your referral.

Submit Your Referral