How can we contact you about this referral?
Supporting Documentation
HIPAA-Compliant Encrypted Upload Facility Network Blocking Uploads?
If your screen says "Protected Storage is empty" or your upload fails, your facility's strict security protocols may be restricting local file access. You can securely fax or email the documents to us instead. Click below to skip the upload process for now.
Uploading documents allows us to confirm insurance and respond faster. You can additionally fax it to 575-525-8795. Max total size: 25MB.
This system is intended for referral coordination and does not replace clinical documentation.