---
title: Primary Care to Complementary Medicine Referral Form Template | Paperform
description: Professional referral form for primary care providers to refer patients to integrative medicine centers for oncology support, chronic pain, anxiety treatment, and evidence-based alternative therapies.
url: "https://paperform.co/templates/primary-care-to-complementary-medicine-referral-form"
type: static
generatedAt: "2026-03-28T00:44:53.086Z"
---

[← Back to free form templates](/templates/)    ![Primary Care to Complementary Medicine Referral Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/primary-care-to-complementary-medicine-referral-form.png)
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### Streamline Integrative Healthcare Referrals with Paperform

When primary care providers identify patients who could benefit from complementary medicine approaches—whether for integrative oncology support, chronic pain management, anxiety relief, or other evidence-based alternative therapies—a clear, comprehensive referral process is essential for coordinated care.

This **Primary Care to Complementary Medicine Referral Form** template helps physicians, nurse practitioners, and healthcare teams create seamless handoffs to integrative medicine centers. Designed specifically for referrals involving acupuncture, meditation therapy, nutritional counseling, and holistic oncology support, the form captures complete patient information, medical history, treatment goals, and clinical justification in one structured submission.

#### Built for Coordinated Integrative Care

Traditional referral processes often rely on faxed forms, incomplete information, and delayed follow-up. This template modernizes the workflow with conditional logic that adapts based on the reason for referral—whether oncology support, pain management, mental health, or multiple concurrent needs. Referring providers can specify treatment preferences, attach relevant medical records, and communicate urgency and special considerations directly to the receiving complementary medicine team.

The form works for a wide range of integrative referral scenarios: cancer patients seeking acupuncture for chemotherapy side effects, chronic pain patients exploring non-pharmacological options, anxiety patients interested in mindfulness-based interventions, or complex cases requiring multi-disciplinary alternative therapy coordination.

#### Automate Referral Workflows with Stepper

After submission, use **[Stepper](https://stepper.io)** to automatically route referrals to the appropriate complementary medicine specialists, send confirmation emails to both the referring provider and patient, create patient records in your practice management system, and schedule intake appointments. Stepper's AI-native automation ensures every referral moves through triage, scheduling, and care coordination without manual data entry, reducing wait times and improving patient experience.

#### Secure, Compliant Communication

While Paperform is not HIPAA compliant, this template provides a structured foundation for referral coordination that can be adapted for secure communication channels when needed. The form captures consent for information sharing, documents clinical necessity, and creates an audit trail for every referral—supporting quality improvement and care coordination metrics.

Whether you're a primary care clinic expanding integrative options, a complementary medicine center receiving referrals, or a hospital system building bridges between conventional and alternative care, this Paperform template helps healthcare providers collaborate effectively around patient-centered, evidence-based integrative treatment plans.
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