If you would like to make a referral for an individual or refer yourself to PRC, please print and fill out the Referral Form.
You may fax or mail that form to the above address/fax #. The individual and/or a member of their care team will receive a phone call soon after PRC receives the referral form to set up an initial evaluation appointment. Treatment will then be started. If you have any questions, please do not hesitate to contact a member of the PRC team.