How to Submit a Referral for Consultation
To request consult services through the Hub, a complete referral packet must be faxed to 352-627-4161. Please score the PSC-17 screener, and include the most relevant clinical note indicative of the reason for referral. If any additional screeners were administered please include them; the Hub may also request other screeners.
If electronic submission is preferred, external providers can request to be setup with MyLink access. This portal provides real-time web access to patient information; physicians who practice at locations outside of UF Health can access patients’ clinical data. UF Health IT will provide an assigned username and password. After receiving login information, please utilize REF929 when submitting an order for consultative services.
If you are referring within UF Health, please utilize REF929 in Epic when submitting an order for consultative services.
- Hub Fax Cover Sheet
- Mental Health Background Form
- Mental Health Background Form-Cover Letter
- Patient Consent and Authorization
- Patient Release of Information
- PCP Needs Assessment
- Provider Data Sheet
- Referral Packet
- Referral-Staffing Form
- Satisfaction Survey – Patient/Parent
- Satisfaction Survey – Physician
- Satisfaction Survey – Young Adult