Patient Referrals

Our Specialists Can Help

Please Complete this Form to Begin the Referral Process.

11824 Ransum Dr., Suite 100
Louisville, KY 40243

2201 Regency Rd., Suite 703
Lexington, KY 40503

Phone

Phone: 502.338.0608
Fax: 502.245.1888

Email

intake@bewellkentucky.com

Choose a Convenient Time to Speak With Our Intake Coordinator

Please keep in mind that communications via email over the internet are not secure. There is a possibility that information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed.  Please do not include personal identifying information such as your birth date or personal medical information in any emails you send to us.