Referrals

All inquiries for admission to SandyPines are processed through the Admission Department. We accept referrals from parents and family members, professionals, schools, child welfare agencies and other organizations, both in state and out of state.

We accept self-pay and work closely with and accept most private insurance. SandyPines also contracts with the state of Florida as a participant of the Statewide Inpatient Psychiatric Program (SIPP).

Residential treatment is considered the most restrictive level of care and therefore all referrals must have the following:

Active relationship with a psychiatrist and had an appointment within the past eight weeks.
Primary mental health diagnosis – substance can be secondary
History of psychotherapy preferably individual and family.
History of intensive outpatient therapy if available.
History of medication management.
Imminent danger to self and or others in the community.

Referral Process

When making a referral, inclusion of the following clinical information can facilitate the decision-making process and expedite the admission:

Recent psychiatric evaluation
Psychological evaluation
Psychosocial history
Presenting problem and present treatment
Present and past medications
Medical history
Immunization record
Legal history/Department of Juvenile Justice involvement (if applicable)
Name of legal guardian
Insurance or DCF funding information

Referral Form

Please take a moment to fill out the following admissions form to make the admissions process as smooth as possible for you and our staff.

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Age
School and grade
Referred by name
Referred by phone
Referred by email
Primary insurance
Primary insurance contact
Primary insured name
Current Diagnosis
Currently in treatment? If yes, where.
Current medications
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