Make a referral

For healthcare providers, agencies, families and individuals. Information is sent securely to our intake team.

About you

Healthcare / agency providerFamily member or caregiverReferring myself

Your name *OrganizationPhone *Email

Person being referred

Full name *Date of birthPhoneCity

Services needed

Non-medical home careRespite careBehavioral health counselingSubstance use programs (SACOT, SAIOP, DWI)Peer supportPrimary care & weight lossCBRS — Birth–3 early interventionNon-emergency medical transportationThe Matthews House — NC MUHS residential services for women 55+

Reason for referral *Insurance / payer (e.g. Medicaid, Medicare, private)

Documents (optional)

Face sheet, clinical summary, orders, etc. Up to 5 files, 10 MB each — PDF, Word or image.

In an emergency, call 911. For a mental health crisis, call or text 988.

Nationally accredited by The Joint Commission for both Home Care and Behavioral Health Services.

(704) 584-7689 info@4cintegratedhealth.com

240 Church St NE, Concord, NC 28025

Mon, Wed, Fri 9am–6pm · Tue, Thu 9am–5pm · Closed weekends

Careers — see openings on Indeed or call (980) 781-1051 Patient portal

In a crisis, call 911. For mental health crisis support, call or text 988.

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