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Behavioral Health Referrals
When you live in a rural community, you know the value of working together—it is more than just a saying, it is a way of life. In order to provide the best possible care for the communities we serve in Western Colorado, we work closely with other agencies and organizations to meet the needs of our community. Our network of providers ensure that our clients and community members are getting the health care they need so they can get on the path to their best life.
Behavioral Health Referrals
Are you a provider, agency, or organization looking to refer a client to behavioral health services at Axis Health System? Please follow the process below so we can follow up with you to ensure the best continuum of care.
Step 1: Click HERE to access the online version of the fillable referral form.
Include Release of Information, if applicable
Authorization for Release of Information (ROI)
Authorization for Release of Information (ROI) Spanish
You can also download the referral form and Email to: Referrals@axishealthsystem.org or FAX to 970.249.2955 (Attn: Utilization Management Coordinator)
Click to Download: Axis- Behavioral Health External Referral Form (fillable)
All behavioral health referrals go to one centralized location and clients will then be contacted.