Phone: 517-258-0344
Fax: 517-879-0374

Step 1:

To refer a patient to for ACT Services, we require the following:

1. BridgeCare ACT referral form (below)

2. Face sheet (includes patient name, DOB, insurance information, home address, phone number)

3. Discharge summary or last clinic note

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Step 2:
Include your email to receive confirmation we have received and accepted your referral.

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Step 3:
BridgeCare support staff will contact the patient and homecare agency within 1 business day of receiving referral and schedule a virtual visit with a BridgeCare physician within first 2 business days.

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