1.203.773.0838
63 York Street, New Haven, CT 06511

How to Refer a Patient to Project Access

HOW TO REFER A PATIENT

one

Referrals to Project Access-New Haven must be made by a healthcare provider

two

Referrals may be submitted by fax using the PA-NH Referral Form (or other referral template)
OR electronically through Epic (the Yale New Haven Hospital electronic medical record)

three

Referrals MUST include relevant medical information and history (e.g., imaging, labs, prior treatment)

Please fax your completed Patient Referral Form to (203) 773-9711

PATIENT REFERRAL FORM

SPECIALIST RETURN FORM

CONTACT US TODAY