Professional Referrals

Referral Checklists

To expedite the referral process, please provide the items below to the admission staff. You can email the documents to [email protected] or fax them to 706-651-0005. The checklists are listed by program. If you do not have all the items, please provide the ones you have at this time.

Residential Program

  • Demographic profile
  • Universal application/ child’s history of services/ biopsychosocial
  • Most recent clinical notes within the past 45 days
  • Most current psychological evaluation
  • Recent psychiatric evaluation from a psychiatrist
  • Current Certificate of Need (CON) (if applicable) completed and signed by a psychiatrist within seven days of evaluation
  • Medication Administration Record (MAR)
  • Any discharge paperwork from an acute stabilization hospital
  • List of current medication
  • Most recent labs
  • Copy of ID card, SSN and insurance card (back and front)
help

Get Help Today

Please contact our admission department at 706-651-0005 for questions about insurance or to schedule a confidential, no-cost assessment. For a less immediate response, you may also use our online contact form.

If you are experiencing a medical emergency, please dial 911 or seek the nearest emergency room right away.