Refer a Patient

Refer to WEA when your patient or client meets one or more of the following criteria:

  • Is unhoused or experiencing housing insecurity

  • Has a history of incarceration or is currently justice-involved

  • Struggles with substance use disorder or behavioral health concerns

  • Is a youth in need of medical, mental health, or support services

  • Belongs to a medically underserved or Indigenous community

  • Faces barriers to care such as lack of transportation, insurance, trust in healthcare systems, or access to culturally responsive providers

How to Refer a Patient

  1. Download and print the referral form below.

  2. Have the patient complete the e-consent form below.

  3. E-Fax the completed referral form and discharge paperwork

    to a region of care E-Fax number.

REFERRAL FORM
CONSENT FORM

E-Fax Numbers

Coachella Valley | 866-811-0333

San Bernardino | 909-333-4812

Los Angeles | 310-402-0387

San Diego | 619-312-4870