Pensacola Hub Referrals & Forms

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.

If any additional screeners were administered please include them; the Hub may also request other screeners.

UF Providers

If you are referring within UF Health, please utilize REF929 in Epic when submitting an order for consultative services.

Pensacola Forms