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.