Case Management Referral Form

​​How to Make a Referral to Case Management​

  1.  Providers- can order a referral to case management via   HillChart or HillLink.
  2.  Complete the below secure form.
All referrals go directly to our Case Management office. Please allow 2 business days for a response.
PPO: 1-877-769-5551

​This secure online form makes the case management referral process as easy and efficient as possible. Please provide all information requested, and you will be contacted by phone by a case manager ​​.​

A Hill Physicians Case Manager will contact you or your patient as soon as possible. You may also fax this form to make a referral.