Apply for ABI Services

Applications

1.) To apply, please complete the following forms:

Note: Adobe Acrobat is required to view these forms and is available for free.

• Referral Form 
• Medical Report 
• Consent to Collect and Disclose Personal Health Information

Positive HELPS Screener - Community Services 

2.) To apply for ABI in the Streets, Mainstream Outreach, Day Program or GAP, please complete the following:

• Simple Referral Form

Please mail, fax or drop off your completed forms to the address below. You can also give to your worker at Traverse Independence. 

Ocean eReferral Network 

Traverse launched The Ocean eReferral Network on Weds. February 15th, 2023. 

The Ocean eReferral Network is changing how healthcare referrals are sent and managed, replacing traditional fax-and-paper systems, while keeping patients informed every step of the way.

The Ocean eReferral Network is an integrated Electronic Medical Records system and is a cloud-based technology for healthcare referrals. The Network includes a map-based, searchable directory of healthcare providers with wait times, intelligent referral forms, end-to-end reporting, and automated status alerts for patients and providers. 

Patients are kept informed about the status of their referrals and get better, faster access to care in their community.

Healthcare Providers can easily send structured referrals right from the patient’s chart, view wait time information, and reduce delays from incomplete requisitions and faxes.

Specialists receive more appropriate referrals, with more complete information, while eliminating time consuming, paper-based workflows.

* Please click on logo above to find out more about the Ocean eReferral Network.