Overnight Request Form
Summit Healing utilizes a secure and confidential third-party site to manage intake and referral forms.
All information submitted is kept confidential and Hippa Compliant.
The 1996 Hippa Law establishes a set of national standards for protecting certain health information. Including information entered here. For more information, refer to the HHS website here.
Please click here and fill out the form to request an overnight stay. Also, note that this request is subject to approval and must be made in a timely manner.