New Referrals

For all new referrals, please use the appropriate referral form listed below, and fax to 919-962-7373, addressing to the attention of ‘Referrals’. Our referral specialist will contact you within 72 business hours to conduct pre-screening for program eligibility. If you are a provider, and are unsure about whether to request a consult or make a referral, please read the information on our Consults page.

• Consult Referral (for medical providers seeking consultation services)
• Inpatient Hospital Providers (Non-UNC providers only)
• Internal Referral (from UNC Hospitals/Healthcare providers and their affiliates: Wakebrook, Rex Hospitals, etc.)
• Outpatient Community Provider
• Self or Family Referral
• Release of Medical Information (please use the form if you are an outside provider, and have all previous records sent to the OASIS program at the fax number listed above)

If you are experiencing a financial hardship surrounding affording the cost of treatment, out staff will provide financial counseling and referrals for assistance on an as needed basis.

We are in-network providers for all insurance plans, with the exception of Magellan Mental Health carve-out.

If you are looking for information about the Wake Encompass program, please click here.