Whole Person Care Integration Referral Form

Streamline Whole Person Care Referrals with Paperform

Moving beyond traditional medical referrals, whole person care integration recognizes that health encompasses physical, behavioral, social, and spiritual dimensions. This comprehensive referral form template helps primary care providers, care coordinators, and healthcare teams connect patients to integrated services that address the complete spectrum of their well-being.

Whether you're implementing value-based care models, coordinating between behavioral health and primary care, or connecting patients to community resources for social determinants of health, this template creates a seamless bridge between siloed services. The structured format ensures that receiving providers have complete context about the patient's needs across all dimensions of wellness.

Built for healthcare organizations adopting whole person care frameworks—including FQHCs, ACOs, patient-centered medical homes, and integrated behavioral health practices—this form captures essential clinical information alongside behavioral health screening results, social needs assessments, and spiritual care considerations. Conditional logic tailors the referral based on the specific services needed, reducing administrative burden while improving care coordination.

With Paperform's healthcare-focused features, you can embed this form into your EHR workflow, send secure notifications to care teams, and track referral completion rates. Connect to Stepper to automate referral routing, schedule follow-up touchpoints, and keep your care coordination system synchronized without manual data entry.

This template supports interdisciplinary collaboration, reduces care fragmentation, and helps ensure that patients receive truly holistic support—not just treatment for isolated symptoms. Start connecting your patients to comprehensive, person-centered care that addresses their full health and well-being.