Calm professional medical office environment with organized coordination workspace

Print or download referral forms

Quick access to referral documents for healthcare professionals coordinating care with BridgeCare Medical.

Multiple ways to refer

Choose how you want to submit a referral

Use our online form for the fastest processing. If you prefer paper workflows, fax to (517) 879-0374 or email contact@bridgecaremed.org. We accept referrals however works best for your practice.

Prefer to submit by fax or email?

Send completed forms directly to BridgeCare Medical. We process all referrals promptly and confirm receipt within one business day.

Email referral form Fax referral form

Need help?

Questions about referrals or BridgeCare Medical?

Our support team is ready to assist. Reach out directly at contact@bridgecaremed.org or call (517) 258-0344 for referral guidance and coordination questions.