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, ROI & Consent, and include the most relevant clinical note indicative of the reason for referral. Please include the name and phone number of the individual within your practice who our Care Coordinator may contact if they need assistance obtaining additional information from your patient.
- a completed electronic referral packet may be submitted online at UF Behavioral Health Hub – REDCap
- a completed printable referral packet may be faxed to 850-308-7299 or 352-627-4116
UF Providers
If you are referring within UF Health, please utilize REF929 in Epic when submitting an order for consultative services.
Pensacola Forms
- Letter to Patients/Families related to the Mental Health Background Form (explanation for PCP to share with patients and their families)
- Mental Health Background Form
- Patient Consent and Authorization
- Release of Information
- Roadmap for Patients and Families – in both English and Spanish
To request electronic or printable versions of the above, please email us at PSYCH-UFBHH@ad.ufl.edu