Please click on the appropriate link to access the desired form.

Referral Process (Step by Step instructions developed by the Referral Pilot Team)

Humboldt County Referral Form (Designed by the Community Referral Improvement Project team based on the concepts found in the Patient Centered Medical Neighborhood Care Compacts). See Sample Completed Referral Form

Specialty Guidelines:

(Not all guidelines are here, more will be added as we receive them from the specialty offices)

Arcata Sports Medicine
HMS Cardiology
HMS Gastroenterology
HMS Interventional Pain Management
HMS Neurosurgery
HMS Physical Medicine and Rehabilitation
HMS Oncology/Hematology
HMS Orthopaedics
HMS Plastic Surgery
HMS Urology
Humboldt Neurological Medical Group
IPA Diabetes Education
IPA Our Pathways to Health
IPA Priority Care Center
IPA Shared Decision Making
IPA Priority Care Center: Wellness Coaching
Kidney Care Services of Humboldt
Lyell, Robert MD – Orthopedics
Mad River OB/Gyn Women’s Health
North Coast Audiology
North Coast Ophthalmology
Osteoporosis Diagnostic Center
Redwood Podiatry
Redwood Renal Associates – Nephrology
Redwood Womens Center – OB/Gyn
ResolutionCare Palliative Care
Shared Decision Making for Lung Cancer Screening
Volgelsang, Kate, FNP, CDE Diabetes Education

For more information or questions about the Referral project, please contact Jane Brown at or 707.443.4563, x26.