If you are a medical professional looking to make a referral to Canyon Ridge Hospital, please complete and submit the form below. A member of our assessment and referral team will respond to your inquiry shortly. If you need or think you may need immediate medical assistance, contact 911 or seek the nearest emergency room right away.

Do not use this form if you have a medical emergency or urgent problem. Instead, please call us at 909-590-3700. If you need or think you may need immediate medical assistance, contact 911 or seek the nearest emergency room right away.

Our assessment and referral team is staffed with licensed professionals 24/7 to help you get the help you need, when you need it. To schedule a no-cost, confidential assessment call 909-590-3700 today.