Refer a patient

Thank you for considering a referral to Rogers Behavioral Health. To make the intake and admission process as smooth as possible for you and your patient, please provide the following information on this secure form. Please be assured that this referral will be handled in a way that respects your patient’s privacy and complies with HIPAA regulations. You may also call us at 800-767-4411.

A Rogers representative will let you know we received your referral and will follow up with you and your patient within one business day.

Have new contact information to share? Please update your credentials and practice information here.

Required
Required
Required
Required
Required
Required
Required
Required
Required

John's Story

Real people sharing what they have overcome and how Rogers helped through their process.

John finally accepted his alcoholism and ... Read More

Call 800-767-4411 or go to rogersbh.org to request a free screening.