Referral

 

 

 

To refer a patient Compassion Health Services LLC, please fill out this secure form. We’ll use the patient’s information to outreach them, and your information to share progress updates.

Name
example@gmail.com
Please enter a valid phone number.
Referring Contact Name*
example@gmail.com

By submitting this form, I understand that Compassion Health Services LLC is an outpatient telemedicine-based opioid use disorder provider. Compassion Health Services LLC can treat most patients with opioid use disorder as long as they meet the following criteria:

  • Over 18 years old
  • Has a photo ID
  • Has a smartphone
  • Consents to telemedicine care
  • Has a safe place to store medication
  • Is not on Methadone, or on less than 40mgs of Methadone

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