Refer a Client to ZODU Health Services
Use this form to connect an individual or family to ZODU Health Services. Our team will reach out within 24–48 hours to collect additional documentation and begin the secure intake process.
Instructions Block
Please complete only the fields below. Do not upload or include any protected health information (PHI).
After submission, our intake team will contact you to collect any necessary documents through a secure, HIPAA-compliant channel.
