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Make A Referral
Click the button below to download the Consumer Referral form, or the appropriate PRP Referral form (Adult or Child/Adolescent), and send it to referrals@kihealthcareservices.com
Referring a child to IHIP-C
For children and youth in Anne Arundel and Prince George’s Counties. Send the completed form by fax to (240) 667-1712 or by secure email to sierrag@kihealthcareservices.com. Please do not send it by regular email.

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