How to Make a Referral
Fax the following information to (501) 221-2795:
- Current Medical History or Physical Exam
- Current Medications (type and dosage)
- Current Psychological Testing with IQ scores, if available
- Social History
- Legal Issues
- Summary of treatment at any other location or level of care
- Contact information
- Copies of insurance information and assistance with pre authorizations
Phone Consultation available by calling toll free (800) 880-3322.