Make a referral | RealChoice Care

Professional referral

Make a referral online.

Start a referral by sharing your professional contact details. Our team will contact you during Office Hours to discuss next steps and arrange any necessary document exchange. Please do not submit client records or sensitive personal information here.

Your name

Organization

Your role

Case manager Discharge planner Social worker Other

Work phone

A work phone or work email is required.

Work email

Either one is enough. Email is for initial contact only.

Preferred callback time (Office Hours, Eastern Time)

Weekday morning (9 AM to 12 PM) Weekday midday (12 to 3 PM) Weekday late afternoon (3 to 6 PM) Saturday morning (10 AM to 1 PM) Any time during Office Hours

Time-sensitive? Call (475) 303-3938

Referrals go to our referral coordinator and are kept separate from family inquiries and general questions. Client records are never collected here; our team arranges an approved secure exchange after verifying the referral.

We use what you send only to respond to you. Please don’t include medical records, Social Security numbers, or insurance details. Privacy Notice