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Referral Form

Refer a Patient

Hill Crest Behavioral Health Services offers confidential assessments 24 hours a day, 7 days a week. A referral from a provider is not required. However, we encourage providers to be involved in the referral process to help our staff determine the most appropriate level of care.

If you would like to refer a patient, please call us at 205-833-9000 or fill out the following form.

Please dial 911 or go to the nearest emergency room right away if you or a loved one is experiencing a crisis. This form is for general questions about Hill Crest Behavioral Health Services’ services, programs, and admissions and IS MONITORED DURING NORMAL BUSINESS HOURS ONLY.

All information is held in the strictest of confidence. Do not use this form if you have a medical emergency or urgent problem. If you or someone in your care needs immediate assistance, please call 205-833-9000 for help, contact 911 or seek the nearest emergency room.

Help is Just a Phone Call Away

Hill Crest Behavioral Health Services’ professional staff are here to help. Call 205-833-9000 for a no-cost, confidential assessment 24 hours a day, 7 days a week. If you need immediate medical assistance, contact 911 or seek the nearest emergency room.