Refer a Patient

Send a patient referral to LifeSpring

For use by referring doctors, clinics and partner facilities. Our care team reviews every referral and will follow up directly.

Referring doctor / facility

Referring doctor name

Facility / clinic name

Your email address

Your phone number

Patient

Patient full name

Patient phone number

Patient email (optional)

Patient age (optional)

Patient sex (optional)

Referral details

Department / specialty

Urgency

Reason for referral / clinical summary Include only what is necessary for triage. This form is not encrypted end-to-end — avoid pasting a full medical record.

Attach a referral letter (optional, PDF/JPG/PNG, max 5MB)

Already referred a patient? Check the status of a referral here:

Send a patient referral to LifeSpring

Referring doctor / facility

Patient

Referral details

Thank you. Your referral has been sent to the LifeSpring care team.