How to Submit a Referral


How to Submit a Referral

A referral is a written order from your primary care doctor for you to visit a specialist or speak with a certain medical service. In many Health Maintenance Organizations, also known as HMOs, you need to get a referral prior to receiving the medical care from anyone except for your primary care doctor. So, how can you submit your referral with Unitas Healthcare Systems? Read below to see how the process works.

Step 1: Visit Our Referral Page

After speaking with your primary care doctor and receiving their consent, visit our Referrals page on our website at

Step 2: Downloading Our Form

From there, you will use the link on the page to download our referral form. 

Step 3: Filling Out The Form

The information that you will need to include on our referral form mentions the following:

date, client name, date of birth, address, telephone, email, primary insurance, insurance id#, group # (if applicable), referral source, referral telephone, and the reason for referral.

Step 4: Submitting The Form

Once completed, please submit via scan and email or fax at (617) 203-6651. Once you have sent over the referral form, we will be in contact with you shortly. 

Contact Us Today

Our expert team at Unitas Healthcare Systems is ready and willing to guide you through your struggles. To get started, contact us today by calling (617) 401-7441 or sending us an email at We look forward to speaking with you soon!  

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