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.