It's As Easy As 1, 2, 3!

  1. Fill our our refferal form to answer questions about the patient including: admission criteria, demographic information, insurance information, presenting problem, medical conditions and history, allergies and medications.
  2. Fax the referral form to 706-646-5718.
  3. Staff will present patient information to psychiatrist who will determine if patient meets criteria.

Please call 706-646-5725 with any questions or concerns.

Click to Download Referral Form