provider referral form

Refer a Patient to Pinnacle Hill Chiropractic

We value interdisciplinary collaboration and are committed to providing exceptional, patient-centered care. Use the secure form below to refer a patient to our team for chiropractic care, massage therapy, or nutrition services.

This form is HIPAA-compliant and ensures all patient information is transmitted securely. Please complete the required fields and upload any relevant clinical notes or imaging. Once submitted, Maria Burns, our Office Manager, personally reviews and responds to all referrals within 48 hours to ensure a smooth handoff of care and timely communication with your patient.

If you have questions about a referral, co-management, or would like to speak with one of our providers directly, please don’t hesitate to contact us.

For additional information, please refer to our Patient Information page.