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

  1. Fill our our refferal form to answer questions about the patient including: Presenting Problem, Medical Conditions, Medications, Psychiatric History, Demographic, and Insurance Information.
  2. Fax the referral form to 706-646-8083
  3. Staff will present patient information to psychiatrist who will determine if patient meets criteria. We will contact you within one hour with a decision.

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

Click to Download Referral Form