{"id":3129,"date":"2019-10-04T19:39:12","date_gmt":"2019-10-05T00:39:12","guid":{"rendered":"https:\/\/www.creativesolutionsonline.org\/?page_id=3129"},"modified":"2025-07-05T17:07:59","modified_gmt":"2025-07-05T22:07:59","slug":"provider-referral-page","status":"publish","type":"page","link":"https:\/\/www.creativesolutionsonline.org\/rebuild-csbh-sit\/contact-us\/provider-referral-page\/","title":{"rendered":"Provider Referral Page"},"content":{"rendered":"[et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_fullwidth_header title=”Provider Referral Form” _builder_version=”4.27.4″ _module_preset=”default” title_font=”|700|||||||” title_text_align=”center” background_color=”gcid-primary-color” max_width=”100%” max_width_tablet=”100%” max_width_phone=”100%” max_width_last_edited=”on|desktop” module_alignment=”center” global_colors_info=”{%22gcid-primary-color%22:%91%22background_color%22%93}”][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”4.16″ global_colors_info=”{}”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” custom_margin=”-38px|auto||auto||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/www.creativesolutionsonline.org\/rebuild-csbh-sit\/wp-content\/uploads\/2019\/10\/adult-desk-doctor-2182979-300×200.jpg” alt=”Doctor referral” title_text=”adult-desk-doctor-2182979″ align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”Georgia|600|||||||” text_font_size=”30px” text_line_height=”1.8em” hover_enabled=”0″ text_font_size_tablet=”17px” text_font_size_phone=”17px” text_font_size_last_edited=”on|phone” global_colors_info=”{}” text_text_color=”#000000″ sticky_enabled=”0″]\n

We look forward to collaborating with you in th care of your patient.\u00a0 Please give us a few details and contact info for the patient.<\/p>\n

We currently take private pay, and BCBS, United\/Optum, Aetna, and Medicare insurance.<\/p>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_contact_form submit_button_text=”Submit Referral” admin_label=”Provider Referral Form” _builder_version=”4.27.4″ _module_preset=”default” _unique_id=”b72e3126-389f-454e-9679-c640a0044cfe” form_field_text_color=”#000000″ captcha_text_color=”#FFFFFF” background_color=”gcid-primary-color” custom_button=”on” button_text_color=”#FFFFFF” custom_padding=”15px|15px|15px|15px|true|true” hover_enabled=”0″ global_colors_info=”{%22gcid-primary-color%22:%91%22background_color%22%93}” sticky_enabled=”0″][et_pb_contact_field field_id=”Name” field_title=”Patient Name” _builder_version=”4.27.4″ hover_enabled=”0″ global_colors_info=”{}” button_text_size__hover_enabled=”off” 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We look forward to collaborating with you in th care of your patient.\u00a0 Please give us a few details and contact info for the patient. We currently take private pay, and BCBS, United\/Optum, Aetna, and Medicare insurance.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":567,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","_et_pb_use_builder":"on","_et_pb_old_content":"\n

\"Doctor<\/figure><\/div>\n\n\n\n

We look forward to collaborating with you in the care of your patient. You can use the referral form for a new patient, or the Feedback form to leave a review of our services.<\/p>\n\n\n\n

Referral Form<\/h2>\n\n\n\n

Please give us a few details and contact information.<\/p>\n\n\n\n