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Referring a Patient

Do you work for a hospital, agency, court, or community partner and would like to refer a patient to Signature Health?

make an appointment

Option 1: Print, complete, and fax this referral form to 440-974-8816.  

Option 2: Call us at 440-578-8211 Our phone line is staffed 7:30am - 5:00pm, Monday - Friday.  Outside of those hours?  Please leave a voicemail and a representative will respond within 24 business hours.

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Overview of Signature Health

Behavioral Health Services

Addiction / Recovery Services

Primary Care

Telemedicine

Medicaid Accepted

Medicare Accepted

Establish Insurance for Eligible Patients

New Patient Referrals

Thank you for the opportunity to partner in caring for your patients.  Our new patients are seen with urgency and we are committed to providing them with the best care possible when they need help now.

Process overview:

  1. Call the referral phone line or fax the referral form to 440-974-8816.
  2. A trained Referral Specialist will ask for initial patient information
  3. We will schedule an appointment and provide next steps
  4. We may ask for medical records be sent over

The patient can expect:

  1. A follow-up phone call from us completing intake information 
  2. The first appointment scheduled

The patient will be asked to provide the following:

  1. Their ID 
  2. Insurance card (We accept Medicaid, Medicare.  For patients without insurance, we can connect those who qualify, with services.)
  3. Social Security number of the patient
  4. Custody or guardianship documents (if applicable)
  5. A current list of medications