Information for Professional Referrals

We recognize the important relationship mental health professionals have with their patients. To ensure your patient receives quality care in a timely fashion, we have streamlined our admissions process.

Our Streamlined Referral Process

At Belmont we recognize the important relationship mental health professionals have with their patients. To ensure your patient receives quality care in a timely fashion our admissions process is streamlined and staffed with:

  • Psychiatrists
  • Psychologists
  • Master level clinicians
  • Crisis admission counselors

For professional referrals, contact our 24-hour Access Center to arrange admissions at 1-800-220-HELP (4357).

How To Refer Your Patient

To expedite the admissions process we suggest mental health professionals provide us with following patient information:

Direct admission checklist

  • Patient demographics
  • Patient insurance information (including secondary and tertiary)
  • Axis I – V
  • Current clinical presentation (including any current substance abuse)

Current medical status (if available):

  • Current vitalso BAL results
  • UDS results
  • Mental health and substance abuse history
  • Emergency contact and family support information
  • Authorization from all insurance carriers

Referral for level of care evaluation and outpatient services checklist

  • Patient demographics
  • Patient insurance information (including secondary and tertiary)
  • Current clinical presentation (including any current substance abuse)
  • Medical history
  • Basic mental health and substance abuse history