MEDICAL SOCIAL WORKER / PERSONNEL REFERRAL

Referrals may only be made by hospital social workers and/or verified medical personnel.


Attention Social Worker / Medical Personnel:

If this is your first time making a referral to Samaritan House

please read the Samaritan House Referral Guidelines before downloading and making a referral.


It is our intention to offer our program to all those that need it

and properly qualify. Please view our policy by clicking on the "REFERRAL POLICY" button below.


If you have any questions about a referral, please contact us directly and we will be glad to assist in any way we can.

Phone #

704-333-0110

Fax #

704-659-4174

Screening Evaluation (pdf)

Download

Samaritan House Screening Evaluation Online

Click below for our new "Online Referral Form" for medical referral

Online Referral Form

Click below to view our REFERRAL POLICY

REFERRAL POLICY