Skip to main content

Provider Referral Form

We are here to help those struggling with addiction and mental health begin their road to recovery and strive to offer a quick referral process to get that journey started as soon as possible.

Please fill out the form below to begin the referral for your client/patient. A member of our admissions team will reach out directly to gather more information and set up an assessment. IF this person is still in the hospital, the admissions team will contact you to walk through next steps.

We are honored you chose Sana at Stowe.

NOTE:  Upon completion of this form you will be immediately emailed by the system, and able to upload medical records to that email for a more secure send to our team.

  • This field is hidden when viewing the form
    Please provide the email address where we can send a notification to attach any relevant records and return to us.
  • Please provide the email address where we can send a notification to attach any relevant records and return to us.
  • This field is for validation purposes and should be left unchanged.
2023 National Patient Safety Goals

Sana at Stowe has achieved accreditation and received

a Gold Seal of Approval® from The Joint Commission®.

This accreditation award verifies that Sana meets the most rigorous quality and patient safety standards of care, and shows a dedication to excellence across the full continuum of care. Learn more.

In-network with many insurance companies!

Sana at Stowe is in-network with BlueCross BlueShield, United Healthcare, UBH, UMR, MVP, First Health, Tufts Health Plan, Harvard Pilgrim Health Care, and Tricare and also accepts most out-of-network insurances, and accepts all private insurance. We also provide access to financial assistance to help with the cost of treatment.