Make a Referral

Please complete this form and click submit at the bottom

You can also make a referral by calling (916) 914-1388 for outpatient, and (916) 830-2223 for inpatient. 

  • If a client is experiencing psychiatric symptoms that negatively affect daily functioning, our programs provide comprehensive care and support tailored to help avoid hospitalization.
  • Upon discharge from an inpatient hospital stay, our programs provide extra support, therapeutic tools and linkage back to respective follow-up providers.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Treatment
MM slash DD slash YYYY
MM slash DD slash YYYY
Client Name*
Address*
If you have questions regarding any of the Heritage Oaks programs, please contact our Intake Team at 916-914-1388. Thank you.

We Are Here to Help!