would this help?
SELECT Referrals.ID, Referrals.ReferralDate, Referrals.[A?P?R?], Referrals.Patient, Referrals.RefSource, Referrals.Zip, Referrals.Dx, Referrals.Payor, Referrals.[ACO?], Referrals.[SN?], Referrals.[PT?], Referrals.[OT?], Referrals.[ST?], Referrals.OtherServices, Referrals.ExpHHSOC, Referrals.ExpPTEval, Referrals.Comments, Referrals.[BSHSIDoc?], Referrals.[HighRefAcct?], Referrals.[OtherFactors?], Referrals.ID, Referrals.EnteredBy, Referrals.CaseComplete, Referrals.[RequestApproval?], [Zip&Team].City, [Zip&Team].Team, Referrals.T_Orange_Used, Referrals.T_Green_Used, Referrals.T_Blue_Used, Referrals.T_Red_Used, Referrals.T_Pink_Used, Referrals.[ToRequester:], Referrals.DOB, Referrals.M0102, Referrals.Attending, Referrals.InsSpecific, Referrals.DeclineReason, Referrals.Alert, Referrals.RcdUpdated, Referrals.ApprovalDT, Referrals.Approver, Referrals.IniEntryDT, Referrals.NN
FROM Referrals INNER JOIN [Zip&Team] ON Referrals.Zip = [Zip&Team].Zip
WHERE (((Referrals.[A?P?R?])<>"Cancelled" Or (Referrals.[A?P?R?]) Is Null) AND ((Referrals.CaseComplete)=False) AND ((Referrals.[RequestApproval?])=True))
ORDER BY Referrals.ID, Referrals.ID;