To refer a patient to Catalpa Health, please download and fill out the Word document form by clicking the button below. Upon completing the fillable form, please print and fax it to us at (920) 882-5495.
Click the button below to complete the online form for referring a student to Catalpa Health.
Intensive Outpatient Services Criteria and Referral Form
To see Catalpa’s criteria for Intensive Outpatient Services, click here. Upon completion of the fillable form, please print and fax directly to the IOP team at (920) 364-2451.