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Referrals

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Make a Referral

Provider referrals are welcome and may be made on the referring organization’s forms and submitted by fax at (352) 244-0308.

To contact the Access Center by phone, call (352) 374-5600, option 2, or toll free at (800) 330-5615.

Please include:

  • Patient name
  • Date of birth
  • Patient address and telephone number(s)
  • Pertinent medical information
  • Insurance information
  • Referring provider name, address, telephone number(s) and fax number(s)

Get Involved

24/7 Crisis Line

Local (North Central Florida):
(352) 374-5600
option 1
Toll Free:
1 (800) 330-5615

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