Patient Referral Information for the Psychiatry Clinics of Hillsboro Village

 
 

For a complete listing of insurance plans by provider, please review our Participating Insurance Plans page.
 
Please review Belcourt Psychiatry Clinic’s Office Policies and Procedures.
 
To make a referral or complete a new patient referral form, you may:

 

1. Call the office at (615) 269-0525.  Our staff will gladly complete the referral form for you.

      or

2. Print the New Patient Request Form.pdf and fax the completed form to (615) 269-3596.  

Please note: If the requesting provider is able to see you or your child, you will be asked to reserve the appointment time with a credit card number.