Local Care Team Referral – Fillable PDF

Local Care Team Referral - Fillable PDF

The Local Care Team Referral can be completed through this fillable PDF and sent to any of the following:

• Lindsay Broadwater at [email protected]
• Fred Polce, Jr. at [email protected]
• Fax: 301-334-7441 attn: Lindsay Broadwater or Fred Polce, Jr.

For questions, please call Lindsay Broadwater at 301-334-7445. An online Google Form-based referral can also be found at: garretthealth.org/care