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Refer A Member

Have a Medi-Cal member who could benefit from health navigation services? Share your contact information and the member’s name and phone number below, and a Health Navigator will reach out to the member within 2–3 business days.

Your Information

Your full name

Your role (optional)

Work email

Work phone

Your Organization

Organization name

Organization type

Member Being Referred

Member’s full name

Member’s phone number

How Should We Follow Up With You?

Preferred way to share any other member details

Best time to reach you

Please only include the member’s name and phone number. Don’t include diagnoses, medical history, or Medi-Cal ID numbers.

Sending referrals regularly? Partner with us to set up a referral process.

Refer A Member

Referral Received