Green Bridge Provider Portal

Submit a secure referral for a patient to schedule with a Green Bridge Society certified physician and/or a pharmacist (C3).

All submissions are HIPAA-protected. After you submit, you’ll be redirected to the scheduling page.

What Happens Next

After submitting, you’ll be redirected to our scheduling page. Choose the appropriate appointment type. Our team will:

  • Confirm with the patient
  • Conduct the consultation
  • Return a one-page clinical summary to your office within 24–48 hours

Fax: 814-281-5462

Email: booking@greenbridgesociety.com

Download HIPAA Authorization Form (PDF)

Download C3 One-Pager (PDF)