Please complete as much information as possible to streamline the referral process. This secure referral form is HIPAA-compliant to protect patient privacy. You may fax any supporting medical records to 866-301-4910.

Once a referral is submitted, an Override Patient Engagement Specialist will reach out to the patient within 24 hours.

If you have any questions about the status of your referral, please contact us at referrals@override.health or call 646-598-8338.