Forms & Download

Forms & Download

At Community Health Alliance, we know that strong partnerships make all the difference. Our referral partners play a crucial role in helping individuals take the first courageous step toward healing, recovery, and lasting wellness. Whether you’re connecting someone to behavioral health services, primary care, or recovery support, your collaboration helps make timely, effective care possible.

This page is designed to make the referral process simple and efficient. Below, you’ll find the two key forms needed when referring a client:

  • Health Assessment Questionnaire – to provide a snapshot of the individual’s current needs.
  • Referral Form – to guide a smooth and timely intake process.

Thank you for your continued partnership. Together, we’re improving lives and expanding access to care where it’s needed most.

Contact Us:
Phone Number: (513) 896-8300
Fax number (513) 883-1461

ContactUs@sojournerrecovery.org

Family Pratice Locations

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