Refer a Patient

Lifeline is focused on ways to support your needs related to patient safety and well-being. This is why we have created different ways for you to refer your patients to the Lifeline service.

If you would like to find out more or to refer a patient to Lifeline, please call us or fill out the online form below. A Lifeline Representative will respond to the contact person within 24 hours (during regular business hours – Monday to Friday 8 am to 8 pm ET).

You can request educational brochures or subscribe to our publications, by an online form.

Refer by Phone: 1-866-784-1992

Refer Online:

  • Enter your Contact Information


    Subscriber Information


    Contact Person

  • * indicates requried field
  • This field is for validation purposes and should be left unchanged.