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Professional Referrals

Referral Instructions for Clinical Professionals

If you are clinical professional seeking behavioral health treatment for your patient, please fill out the form below to make a referral to the Vines Hospital. Completed forms can be faxed to 352-861-3134.

For more details on our acute crisis stabilization, psychiatric care, detox services and exclusive gender-specific women’s trauma program, please call 866-671-3130.

Download the patient referral form and fax to us at 352-861-3134.

Take the First Step Today

We are available 24/7 at 866-671-3130 to schedule no-cost assessments and answer questions. In case of medical emergency, dial 911 or go to the nearest emergency room.

You may also reach us with our online contact form.