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Patient Referral Information
Thank you for your interest in Lakeview Medical and Psychiatric Healthcare services. To start the referral process, please provide the requested documents below.
Note: This referral request page is for physicians and health care providers only. If you wish to refer yourself or a loved one, please utilize the New Patient Information tab located at the top of the webpage.
Referral Request Information Required
Please provide our office with the following information:
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Referral Source
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Patient Information
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Patient Documents Needed: Facesheet, History & Physical, Medication List, Physician Order
Please Provide Information By Fax
Fax: 309-276-0615
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