The Assessment Center At Solterra Academy

Third Party Referral Form

Are you a doctor, pediatrician or mental health professional who has a student or young adult who needs an assessment? Please fill out our online referral form below and our team will be in touch with you to get an assessment scheduled. 

Many insurances do not require a referral for an assessment so please check with your provider. 

Referring Provider Information

Patients Information

Insurance

We currently are contracted with: CIGNA, United Behavioral Health General and United Veterans Affairs Coordinated Care, Connecticare, Harvard Pilgrim, Choice Plus, UMR, Oxford Liberty, Oxford Freedom, Oxford Commercial, River Valley, Providence, and All Savers, and Anthem (includes Century Preferred PPO Network and Blue Cross and Blue Shield), and Husky.

Documents Upload (**Please note there is a 256mg upload limit. For larger files please email gwilliams@solterraacademy.com)
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