Case Manager Referral Form

Updates are on the way! We’re working to enhance this page for your future visits.

Providers can order a referral to case management via HillChart or HillLink.

This secure online form makes the case management referral process as easy and efficient as possible. Please provide all information requested. All referrals go directly to our Case Management office. Please allow two business days for a response. You will be contacted by phone by a case manager​​.​

Phone
HMO: 1-855-726-4764
PPO: 1-877-769-5551