Referral from a Skilled Nursing Facility

The preferred method for submitting referrals is to submit them electronically using the online form below. Please include all required forms and information in the referral.

​

Required Referral Documents

Professional Medical Information Page (PMIP)

​

Optional Referral Documents

Release of Information

Pre-Admission and Resident Review Program (PASRR)

You can also submit referrals via email, SEPreferrals@rmhumanservices.org