One secure form. One business day to acknowledge. Clearwater takes it from there: eligibility, outreach, assessment, and coordinated care, and keeps you updated along the way.
Every route reaches the same Clearwater intake team. Use the one that fits how you work.
The complete referral form, encrypted and covered under our HIPAA Business Associate Agreement. Most referrals take about four minutes.
Start a secure referral →Urgent discharge, or a member you can reach only right now? Call and we will take the referral over the phone.
(909) 500-9744Hospitals, health plans, clinics, and shelters sending referrals regularly. we will set up a standing channel and a named point of contact.
Set up a partner channel →Here is exactly what follows once you submit, and where you hear back from us.
Logged with a referral ID and acknowledged to you within one business day.
Medi-Cal enrollment, managed care plan, and population of focus verified.
We reach the member where they are: street, shelter, hospital, or clinic.
A comprehensive look at medical, behavioral, and social needs together.
A lead care manager is assigned and the plan is built with the member.
Continuous engagement, with updates back to you as the referring partner.
All fields marked required are needed to begin eligibility review. If you do not have a piece of information, leave it blank and submit. We will follow up rather than delay the referral.
Encrypted in transit and at rest · Covered under a signed HIPAA Business Associate Agreement
A member of the Clearwater team will acknowledge this referral within one business day and will contact you directly if we need more information. A confirmation is on its way to your email.
Secure submission. This referral is transmitted and stored under a signed HIPAA Business Associate Agreement and is accessible only to authorized Clearwater care staff. Please do not send member health information by ordinary email or text message. Use this form, or call us at (909) 500-9744.
Need help with a referral? Our intake team can take a referral by phone, help you determine whether a member is likely eligible, or set up a standing referral channel for your organization. Call (909) 500-9744, Monday–Friday 8:00 AM – 6:00 PM PT, or email ECM@clearwatercarepartners.com.