Contact Us If you’re a discharge planner and want access to our free planning app, please fill out the information below. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your Name *FirstLastYour Company or Institution *Zip Code * Your or Phone Your Business Email *Phone *Type of Request *I am a discharge planner. Please send me an invitation code to sign up for the REFER.HEALTH App.I am a service provider and would like more information on the app.General InquiryComment or MessageSubmit