Refer a Patient
Download and print the referral form below.
Have the patient complete the e-consent form below.
E-Fax completed referral form and discharge paperwork to 866-811-0333
When to Refer
Refer to WEA when your patient or client meets one or more of the following criteria:
Is unhoused or experiencing housing insecurity
Has a history of incarceration or is currently justice-involved
Struggles with substance use disorder or behavioral health concerns
Is a youth in need of medical, mental health, or support services
Belongs to a medically underserved or Indigenous community
Faces barriers to care such as lack of transportation, insurance, trust in healthcare systems, or access to culturally responsive providers