Select your referral type below.
Acute Catastrophic and Complex Risk Transfer Cases
To refer an Acute catastrophic or complex injury, please submit a completed digital Acute Catastrophic and Complex Risk Transfer Referral Form.
Injury types include:
- Traumatic Brain Injury
- Spinal Cord Injury
- Severe Extremity Injury
- Wound Management
Imaging and Diagnostic Scheduling Referral Form
For access to our national network of quality imaging providers and to schedule imaging services please submit a completed digital imaging scheduling referral form.
Carisk Intelligent Clearinghouse Provider Registration Form
If you are a provider who would like to learn more about how Carisk Intelligent Clearinghouse electronic billing capabilities can help streamline your revenue cycle management, please submit a completed CiC registration form.