Psychiatric Referral Form
Providers may submit referrals electronically by using the form below. Records are secured and protected using the highest standard required by HIPPA. If you have any questions on how to use this form, please call us at 803-779-1995.
If you are not a health professional and wish to request a psychiatric appointment, please print the Psychiatric Referrals Form and have your current psychiatrist or primary care physician fill it out.
1500 Lady Street
Columbia, SC 29201
St. Andrews Office
Located in St. Andrews Presbyterian
6952 St. Andrews Road
Columbia, SC 29212
Located in Crossings Community Church
2831 Clemson Road
Columbia, SC 29229
Located in Westminster Presbyterian Church 230 Alice Drive Sumter, SC 29150
Located in N. Trenholm Road Baptist Church
6515 N. Trenholm Road, Columbia,