Referring a Patient
Do you work for a hospital, social services agency, court, school or community organization and would like to refer a patient to Signature Health?
Option 1: Complete this form and return via email to sh-referrals@shinc.org or print and fax to 440-974-8816.
Option 2: Call 440-578-8211 between 7:30am and 5pm (Mon-Fri) or leave a message after hours.
Option 3: We also receive referrals through the Unite Ohio platform.
Residential Referrals: Please visit the page of the residential facility to access the form and process specific to that facility.
Overview of Signature Health
Mental Health Services
Addiction / Recovery Services
Primary Care
Telehealth
Medicaid Accepted
Medicare Accepted
Establish Insurance for Eligible Patients
New Patient Referrals
Thank you for the opportunity to partner in caring for your clients. 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:
- Call the referral phone line or email/fax the referral form.
- A trained Referral Specialist will ask for initial patient information
- We will schedule an appointment and provide next steps
- We may ask for medical records to be sent over
The patient can expect:
- A follow-up phone call from us completing intake information
- The first appointment scheduled
The patient will be asked to provide the following:
- Their ID
- Insurance card (We accept Medicaid, Traditional Medicare and some Medicare Advantage plans. For patients without insurance, we can connect those who qualify, with services. Private/commercial insurance is accepted only in some cases for grant-funded reproductive health services.)
- Social Security number of the patient
- Custody or guardianship documents (if applicable)
- A current list of medications
If you'd like to request hard copies of Signature Health's brochure to share with your patients or constituents, please contact us with your name, organization and mailing address.