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.

Main Office

1500 Lady Street
Columbia, SC 29201

Monday-Thursday- 8:30-5:00
Friday- 8:30-12:30

St. Andrews Office

Located in St. Andrews Presbyterian
6952 St. Andrews Road
Columbia, SC 29212

Northeast Office

Located in Crossings Community Church
2831 Clemson Road
Columbia, SC 29229

Sumter Office

Located in Westminster Presbyterian Church 230 Alice Drive Sumter, SC 29150