Referral Request

Complete the form to request a non-urgent referral from a ProHEALTH Care provider. All requests are processed within 1-3 business days, Monday – Friday 8:30am – 5pm, excluding holidays. You will receive an email when your referral has been processed.

If you have an urgent appointment request, please contact us by phone at 516-622-6000.

Patient Information:
Provider Information
Referral Information

If you are in search of a provider, please see the ProHEALTH Care specialty provider list  to find one near you.

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