Referral Form

Lansing Location

610 E. Cesar E Chavez Avenue • Lansing, MI 48906
(517) 484-4997 · Fax (517) 484-5799

Charlotte Location

313 Lansing St., Suite 6 • Charlotte, MI 48813
(517) 727-1700 • Fax (517) 727-1710

Wyoming Location

2610 Buchanan SW • Wyoming, MI 49548
(616) 475-8660 · Fax (616) 475-8667

How to submit a referral form:

  1. Click the ‘RCS Referral Form‘ to open the form in a new tab
  2. Fill and complete the form with as much information as you are able
  3. Save the form to your computer, and attach the document to an email directed towards the following;

Lansing Location

610 E. Cesar E Chavez Avenue • Lansing, MI 48906
(517) 484-4997 · Fax (517) 484-5799

Charlotte Location

313 Lansing St., Suite 6 • Charlotte, MI 48813
(517) 727-1700 • Fax (517) 727-1710

Wyoming Location

2610 Buchanan SW • Wyoming, MI 49548
(616) 475-8660 · Fax (616) 475-8667