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  Encore Unlimited Referral Instructions

  Please choose one of the following options to send us a referral:  

  1) Use our online form to immediately send a secure electronic referral to our referral desk. (use the menu above to "start a new referral" (or simply click here  to open a General purpose online referral form to select your desired service options)  
  • You may want to take advantage of our "My Encore" menu option. This allows you to quickly and easily create a user account in order to store your contact information.
  • In doing this you will save valuable time by not having to enter this information into various forms on our site. It will automatically be entered and displayed to you whenever you visit and login.
  • If any of your contact or other information changes you can make edits to it at anytime through through your "My Encore" account.
  2) Or select and print a Microsoft Word document from the drop down list below to fill out and send to our referral desk.     
         Requires Microsoft Word  or Adobe PDF   
         Don't have MS Word?  Download the free Word viewer from the Microsoft site: here  
         Don't have Adobe Acrobat?  Download the free Acrobat Reader from the Adobe site: here  
       The completed form can be sent to us at:  
              Fax: 1-800-536-5023
            (or) Email: referrals@encoreunlimited.com
               Adobe PDF Forms                       Microsoft Word Forms  
               General Referral Form General Referral Form  
               Liability Review Form Liability Review Form  
  3) Of course you can also always call our referral desk at 1-800-434-2520 and we will be more than happy to take your information over the phone!  

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