Quick & Easy Referral Process!  We are here to help you. 

 Please reach out with any questions or concerns by calling 315-515-5183 email info@presencedevelopmental.com or use the chat feature on our website

First, choose a referral method. 

a. Electronic referrals- accepted by the patient portal and email. 

    PORTAL: First-time users will need to create an account. The Patient Portal satisfies HIPAA security expectations. We guarantee that patient data will not be passed to any third parties.  One of the many benefits of creating a patient portal account is that it improves engagement and treatment. 

To create a Patient Portal account and Make a Referral navigate to the button below and click Patient Portal Login.  Once logged in, select the "Forms to Complete" section to complete the Presence Referral Form and attach the supporting documentation. 

    EMAIL: info@presencedevelopmental.com

b. Paper referrals-accepted by fax and mail. 

       FAX: 315-515-5194 

      MAIL: 115 Fall Street, Seneca Falls, NY

Next, if the referral method is by email, fax, or mail, submit the following:

1. Completed "Presence Referral Form"
2.  Copy of the Insurance card(s) -Front and back 
3. Copy of the most recent Life Plan
4. copy of the Individualized Education Plan (for school-age and if referral is for PT, OT, or SLP)
5. Completed Authorization for Release of Health Information to Presence
6. Script for evaluation (if for PT, OT, or SLP)
7. copy of the authorization for the Release of Health Information & the referred individual’s primary care physician.  (if for PT, OT, or SLP)

Please be sure to include the reason(s) for referral and if there is more than one provider listed in the referred individual's county, let us know of any preference, and write their name on the referral form.

Presence will do our best to respond to your referral within 2 business days. 

If you need immediate assistance:

• 911 for emergencies  
• 988 for mental health emergencies
• National Suicide Prevention Hotline (800) 273-8255
• Suicide Prevention Text Line 741741