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Referral Information

  • We recognize that timely admissions and quality care are critical to helping your patient. To that end, we have streamlined our admissions process and created a checklist of the information you will need to ensure a speedy admission process.

    Our admissions group is staffed with:

    • Psychiatrists
    • Psychologists
    • Master level clinicians
    • Crisis admission counselors

    For professional referrals, contact our 24-hour triage and evaluation center to arrange admissions at 1-800-220-HELP (4357).

    Patients are welcome to call or walk in for an evaluation or to speak with a counselor.

    We accept coverage by most insurance carriers including many HMOs, PPOs, Medicare and Medicaid and will negotiate nonparticipating agreements with insurance companies that we do not have a contract with. In addition, we routinely assist uninsured patients with the applications process for medical assistance and currently have about an 80% acceptance rate.

    Information needed for admission:

    Direct Admission Checklist
    Checklist of information required to admit a patient.

    Referral for Level of Care Evaluation Checklist
    Checklist of information required for a level of care evaluation.

    Referral for Outpatient Services Checklist
    Checklist of information required for admission to outpatient services.

  • Questions? Call Us:

    1.800.220.4357

    Accreditation & Partnerships



    Belmont Behavioral Health Seal

    Joint commission gold seal


    Licenses

    • Department of Health (DOH)
    • Department of Public Welfare (DPW)
    • Division of Drug and Alcohol Program Licensure (DDAPL)
    • Bureau of Drug and Alcohol (BDAP)

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