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Screening Information
Start a Patient Referral
Enter your work email address to get started. We'll use your email to show you the correct referral form for your organization.
Who can submit referrals?
Healthcare workers, social workers, and health plan employees may submit referrals.
MANNA does not currently accept self-referrals.
If you are seeking services for yourself, please speak with your healthcare provider.
Not for health updates or recertifications
This form is for new patient referrals only. For health updates or recertifications, contact clientservices@mannapa.org.