How to Refer Your Patient
Please fax the following items for all referrals:
- Release of information form signed by the person you are referring to us.
- Demographics to include: name, date of birth, complete address, phone number, email address or both.
- Please list on your fax cover sheet the specific services you are requesting, such as:
- Psychiatry
- Counseling
- Intensive outpatient program
- Partial hospitalization program
- Psychological testing
- Send any records that would be helpful for our physicians or providers in making a determination if we are able to accept the patient.
If you are referring a patient for a seven-day hospital follow-up or following discharge from a residential program, please mark that on the fax cover sheet.
New Patient Fax
Electronic Referrals Through EpicCare Link
You can sign up for our electronic referral system, EpicCare Link, by emailing CareLink@TMH.ORG.
EpicCare Link allows for quicker processing of referrals and gives you real-time access to scheduled appointments and provider notes.
