Contact Us

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E-MAIL FOr Refferals

CHRT-SIMReferrals-Fax@med.umich.edu

TIME TO

Make A Referral

Step 1

If one or more of your patients/clients meet our referral criteria, talk to them about the program.

Step 2

If your patient/client is interested, submit our short referral form, telling us what you can about their needs.

REFERRAL FORM

Referrals will be carefully reviewed by our care managers. Staff may call your office to discuss candidates before making a final decision, so please make time to talk to them. Individuals who meet our program criteria will be accepted based on capacity at the time of referral.

For questions or more information, email CHRT-SIMReferrals-Fax@med.umich.edu