Drug & Alcohol Rehab Referral Form

Refer Someone to Rehab Treatment
What is a Rehab Referral?
A rehab referral is the process of guiding someone who is struggling with drug or alcohol addiction toward a treatment program that fits their specific needs. This referral can come from a variety of sources, including doctors, therapists, social workers, family members, friends, employers, or even the individual themselves. The goal is to connect the person with professional care that can help them begin the recovery process. Rehab referrals can lead to different types of treatment, such as inpatient rehab, outpatient programs, detox services, or ongoing counseling, depending on the severity of the addiction and any co-occurring mental health issues.
When Should I Refer Someone to Rehab?
You should refer someone to rehab when their substance use is negatively affecting their health, relationships, job, or daily responsibilities, and they are unable to stop using on their own. Signs that it may be time for a referral include repeated failed attempts to quit, increased tolerance or withdrawal symptoms, risky behavior while under the influence, and denial of the severity of their problem. You may also consider a referral if the person’s drug or alcohol use is putting themselves or others in danger. Early intervention can prevent further harm, and referring someone to rehab can be a critical step toward recovery and long-term healing.
Who Makes a Rehab Referral?
A rehab referral can be made by a variety of people depending on the situation. Healthcare professionals such as doctors, nurses, or mental health therapists often refer individuals to rehab when substance use is interfering with physical or mental health. Family members or friends may make a referral when they see a loved one struggling and want to help them get treatment. Employers, social workers, or case managers may also be involved in the referral process, especially if substance use is affecting work performance or legal responsibilities. In some cases, individuals refer themselves to rehab when they recognize the need for help and are ready to seek treatment.
Can I Refer Someone to Rehab Without Their Consent?
In most cases, you cannot refer an adult to rehab without their consent, as treatment typically requires the individual’s willingness to participate. However, there are exceptions in certain situations and states where involuntary commitment laws exist. These laws allow a judge or court to mandate treatment if a person’s substance use poses a serious risk to themselves or others. This process usually involves submitting a petition, providing evidence of the risk, and going through a legal hearing. For minors, parents or legal guardians can usually make the decision to refer them to rehab without their consent. While it is difficult to force someone into treatment, expressing concern, offering support, and encouraging voluntary help can often be more effective in motivating someone to accept rehab.
What Information is Needed to Make a Referral?
To make a rehab referral, you typically need to provide basic and relevant information about the individual seeking treatment. This includes their full name, age, and contact information, as well as details about the substances being used, the duration and severity of use, and any known mental health conditions or medical history. Insurance information or details about how the treatment will be paid for are often required as well. Some facilities may also ask about current medications, past treatment history, legal concerns, or living situation. Providing accurate and complete information helps the rehab center determine the most appropriate level of care and ensures the person receives the right kind of support from the start.
Are Referrals to Rehab Confidential?
Yes, referrals to rehab are confidential. Treatment centers and healthcare providers are required to follow privacy laws such as the Health Insurance Portability and Accountability Act (HIPAA), which protects a person’s personal and medical information. This means that details about the referral, including the individual’s identity, health status, and treatment plans, cannot be shared without written consent, except in specific legal or emergency situations. Whether the referral comes from a doctor, family member, or friend, confidentiality is maintained to protect the person’s privacy and encourage them to seek help without fear of stigma or exposure.
What Happens After a Referral is Made?
After a referral is made, our treatment advisors will reach out to discuss treatment options and begin the intake process.