Refer a patient to Waymark Care

Thank you for your interest in referring a patient to Waymark Care.

We are a free service that provides additional support for the Medicaid patients* you worry about the most. Our multidisciplinary care teams of Community Health Workers, pharmacists, therapists, and care coordinators provide evidence-based, whole person clinical and community-based interventions. We aim to support you by coordinating community resources, behavioral healthcare, and medication management to help patients achieve targets you set and reduce your paperwork by taking on tasks like pre-authorizations and DME forms.

We safeguard the information that you provide via this form and store the data in an encrypted format. We do not sell your data or patient data. Information provided below is shared on a need-to-know basis for the purpose of determining your patient's eligibility for our services and, if your patient is eligible, facilitating your patient's treatment and care.

We will follow-up with you over the next week to update you on your referral.

*Waymark Care currently provides services to patients receiving benefits from Aetna Better Health Virginia and UnitedHealthcare Washington.

Your Email*

example@example.com

Which state does the patient live in? (Note, only states with current Waymark services are listed.)*

WashingtonVirginiaFlorida

Primary Care Provider's Name*

First NameLast Name

Primary Care Provider's Phone Number*

Please enter a valid phone number.

Primary Care Provider's Email Address*

example@example.com

Refer a patient to Waymark Care

Patient Information