Email

info@premierservicellc.com

Call Us

612-208-7728

Fax

612-500-4573

245D Referral Form

245D Referral Form
In order to make a referral, it is necessary to have a CSSP with Premier Service listed in the provider summary section, along with the specific service that we are providing. Additionally, a Face Sheet is now mandatory for all referrals.