Primary Care to Whole Health Referral Form for Veterans
About this free form template

Streamline Veteran Whole Health Referrals with Paperform

Transitioning veterans from primary care to comprehensive whole health services requires a thoughtful, detailed referral process that captures not just medical needs, but the full spectrum of well-being factors. This Primary Care to Whole Health Referral Form is designed specifically for VA facilities, veteran health networks, and healthcare providers serving military populations who embrace a holistic, veteran-centric care model.

Why This Form Works for Veteran Whole Health Programs

Traditional medical referrals focus narrowly on diagnosis and treatment. Whole health referrals require a broader view—one that includes complementary and integrative health (CIH) modalities, personal health inventory, social determinants of health, and veteran-specific considerations like service-connected conditions and military culture competency.

This Paperform template captures all the essential information providers need to make meaningful referrals: veteran demographics, current health concerns, personal health goals, lifestyle factors, and specific CIH services that might benefit the patient. The form uses conditional logic to surface relevant follow-up questions based on initial responses, ensuring you collect comprehensive information without overwhelming providers.

Built for Healthcare Teams Serving Veterans

Whether you're a VA primary care physician, nurse practitioner, social worker, or care coordinator, this form simplifies the referral workflow. Staff can complete it in minutes during or immediately after patient visits, and submissions automatically route to the appropriate whole health team members. Integration with your EHR, patient management system, or secure communication tools through Stepper means referrals don't sit in inboxes—they trigger the next step in care coordination.

For multi-site veteran health networks, Paperform's SOC 2 Type II compliance and data security controls provide the trust and audit trail your organization requires, while the clean, professional design respects the dignity and service of veteran patients.

Turn Referrals Into Coordinated Care Pathways

Once a referral is submitted, use Stepper to automatically notify whole health coordinators, schedule intake appointments, send welcome materials to veterans, and update care team dashboards. This ensures every referral moves quickly from identification to intervention, reducing wait times and improving veteran satisfaction with the care continuum.

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logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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