While many individuals reach out to SpiritLife on their own, we also receive referrals from a variety of trusted professionals and organizations, including but not limited to:

Professional Referral
Confidentiality Notice: All information submitted through this form is treated with the utmost confidentiality and in compliance with HIPAA regulations. Your referral will be processed securely to ensure the privacy and safety of the individual being referred.
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Patient Name (First Name, Middle Initial, Last Name)
Provider's Email Address
Provider's Contact Person Details (First & Last Name)
When would you like an Admissions Coordinator to call to begin the admissions process?
Please select when you would like to have an Admissions Coordinator reach out to you to begin the admissions process. If you select “Schedule a Call” please select a date and time below.
When would you like us to call you?
If you selected “Schedule a Call” above, otherwise, please skip this question. We will be calling you shortly.
Please feel free to share additional details with our admissions staff that will aid us in better caring for our patient together!

For any urgent or direct referral needs, please contact our Urgent Admissions Line at (724) 402-3238, which bypasses our main IVR system for quicker assistance.