Eligibility intake

See if a treatment pathway may be appropriate.

Complete this intake so a licensed provider can review medical appropriateness. Praeter supports education, status visibility and Health OS tracking.

  1. 1Contact
  2. 2Goals
  3. 3Health
  4. 4Review
Step 1 - Contact

Where should the care team follow up?

Use the same information you would want attached to a provider-reviewed intake.

Please complete: first name, last name, email, phone, state.