Health Connect America earns the trust and faith of our referral source with each assignment we fulfill.
To make a request for medical records, school notes and/or documentation please send an e-mail to the appropriate region.
Please select a location for the PDF form. You may download a print file and fax to our local office.
|ONLINE REFERRAL||PDF Referral|
|Algood, TN||Algood, TN|
|Athens, TN||Athens, TN|
|Camden, TN||Camden, TN|
|Chattanooga, TN||Chattanooga, TN|
|Clarksville, TN||Clarksville, TN|
|Cookville, TN Please see Algood, TN||Cookville, TN Please see Algood, TN|
|Dyersburg, TN||Dyersburg, TN|
|Nashville, TN||Nashville, TN|
|Gallatin, TN||Gallatin, TN|
|Jackson, TN||Jackson, TN|
|Johnson City, TN||Johnson City, TN|
|Knoxville, TN||Knoxville, TN|
|Memphis, TN||Memphis, TN|
|Morristown, TN||Morristown, TN|
|Pulaski, TN||Pulaski, TN|
|Savannah, TN||Savannah, TN|
|Sparta, TN||Sparta, TN|
|Winchester, TN||Winchester, TN|
|Cumberland Plateau Recovery, TN||Cumberland Plateau Recovery, TN|
Our network of direct care professionals, therapists, case managers and counselors cover every region and county in the state of Tennessee, the Decatur Alabama region, regions surrounding Atlanta, Georgia and many Virginia regions.
Health Connect America serves as a subcontractor for both private and public agencies, and accepts self pay, Medicaid as well as other third party payers.