Connecting individuals and organizations to the right level of care and support. We streamline the path from referral to enrollment.
For individuals or family members seeking Medi-Cal services for themselves or a loved one. Start your journey here.
For Hospitals, Clinics, Shelters, and CBOs. Use this form to refer a client for ECM or Housing Navigation services.
Required for any member under the age of 18. This form must be signed by a parent or legal guardian to authorize services.
Standard Release of Information (ROI) form. Allows us to share medical records and coordinate care with other providers.
Risen Health Partners welcomes referrals from individuals, families, hospitals, clinics, shelters, community-based organizations, and Medi-Cal Managed Care Plans. Referral submission does not guarantee eligibility, coverage, or authorization. When services are requested through a Managed Care Plan, the plan’s coverage and authorization requirements apply.
We review submitted information and coordinate appropriate next steps. Response times depend on referral completeness, eligibility verification, and applicable authorization processes.
Medical content reviewed and validated by Ekaterina Timofeeva, PhD.
Risen Health Partners
925 N La Brea Avenue, Suite 500
Los Angeles, CA 90038
© 2026 Risen Health Partners
Phone: (323) 405-7725
Secure Fax: (323) 405-7735
Email: info@risenhealth.org
Provider Contracting: contracting@risenhealth.org
Mon–Fri: 9:00 AM – 5:00 PM
Sat–Sun: Closed