Get help now!

Make a Referral
Our Services
Careers
About Us
- Mission / Vision
- Our Team
- FAQs
- News
- Pricing
Contact Us
- Locations
- Media Inquiries

Select Page

Site Map

Pages

About Our Pricing Commitment
Careers
Coming Soon
Contact Us
FAQs
Get Help
Home
Insurance Lunch
Locations
Mission / Vision
NBH Difference
News
Our Team
Pricing
Pricing Estimates and Information
Programs
Provider Happy Hour
Referrals
RSVP
Site Map
What We Do

Corporate Headquarters
4905 Park Ridge Blvd
Boynton Beach, FL 33426
1 800 592 2974

FAQs Site Map Careers News

FAQs
Site Map
Careers
News

Powered by TechBear

Copyright All Rights Reserved NeuroBehavioral Hospitals © 2024

Submit Request

Name(Required)

Email(Required)

Phone(Required)

Reason for Inquiry(Required)

Is this a Referral(Required)

Media Inquiries

Name

Email

Phone

Reason for Inquiry

Get Help Now

Name(Required)

Email(Required)

Phone(Required)

Reason for Inquiry(Required)

Is this a Referral(Required)

Name

Email

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

Comments

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