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Referrals

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Make a Referral

Provider referrals are welcome and may be submitted in the following ways:

  • Complete the form below to submit securely to our Access Center.
  • Fax the referring organization’s forms to (352) 244-0308.
  • Contact the Access Center by phone, call (352) 374-5600, option 2, or toll free at (800) 330-5615.

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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