How to Submit a Referral for Consultation
External Providers
To request consult services through the Hub, please have the patient/family complete the Mental Health Background Form, PSC-17 screener, ROI & Consent, and include the most relevant clinical note indicative of the reason for referral.
- a completed electronic referral packet may be submitted online at UF Behavioral Health Hub – REDCap
- a completed printable referral packet may be faxed to 352-627-4116
If any additional screeners were administered please include them; the Hub may also request other screeners.
We also offer 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.
Internal/UF Providers
If you are referring within UF Health, please utilize REF929 in Epic when submitting an order for consultative services: UF Internal Provider Referral Packet
Gainesville Forms
- Hub Fax Cover Sheet
- Letter to Patients/Families – Mental Health Background Form (explanation to share with patients/families)
- Mental Health Background Form (printable version | electronic version)
- Patient Consent and Authorization
- Patient Release of Information
- Provider Data Sheet
- Referral Packet (printable version | electronic version)
- Referral-Staffing Form
- Roadmap – English
- Roadmap – Spanish
- What to Expect – for Patients/Families
