Mental Health Referral in Florida | Refer a Patient

To refer a patient, client, family member, or anyone else to one of our hospitals please either click the button OR call the number below and one of our Neurobehavioral intake specialists will assist you through our clinical assessment process.

Click here to refer now! OR

Call our referral hotline 24/7

866-486-6762

Common referral sources include, but are not limited to:

Assisted Living Facilities
Employers/EAP’s
Freestanding ERs
Group Homes
Home Care
Home/Individuals
Hospitals / Hospital ERs
Judicial/Legal
Mental Health Professionals
Physician’s Offices
Skilled Nursing Facilities
Social Service Agencies

We’ve partnered with most major insurance plans and are a participating Medicare and Medicaid provider.

Name

Phone

Insured

Name of Referral

Relationship to Referral

If applicable, please have the following documentation ready for out intake specialist to better assist you.

Face Sheet/Demographic
Most recent H&P with vitals, height, weight, and BMI
Insurance Card
Physician Orders and Treatment
MAR/Medication List
Most recent Labs, Diagnostic Tests, Lipid Panel, and Skin Assessment
Psychiatric Notes/Nursing Notes/Behavioral Logs (previous 72 hrs.
Legal Guardianship/Power of Attorney (if applicable Code Status/Advanced Directives

This field is for validation purposes and should be left unchanged.

Referrals.

Common referral sources include, but are not limited to:

We’ve partnered with most major insurance plans and are a participating Medicare and Medicaid provider.