Referrals

Criteria for ACTT services:

Should you like to obtain more information about the service or determine if it is the appropriate level of care after reviewing the criteria for ACTT services, feel free to contact one of our offices or submit your basic information for a referral using the short referral form on the left side of this page. We will then get back in touch with you for more detailed information.

To make a referral via telephone, please call 828-655-2920.

Referrals can always be made by phone and any information unavailable can be left blank on the referral form when submitted.

The process after the referral has been made:

1. A member of our team will reach out to you to confirm receipt of the referral and may inquire about additional information that may be needed to properly screen the referral. Should the referral have a guardian, the guardian will be notified to provide consent for ACTT to move forward with the referral and intake process.

2. ACTT team lead and/or clinical staff will screen the referral to determine eligibility of ACTT services. Should the referral be deemed appropriate for services and screened in, an intake assessment will be scheduled with the referral to fully determine ACTT eligibility.

3. Once the intake documents and a clinical comprehensive assessment have been completed and there is evidence of medical necessity, a service order will be signed by a psychiatric provider , and the referral can begin receiving ACTT services. Should the referral NOT meet entrance criteria and/or medical necessity for ACTT services, the individual and/or agency who submitted the referral will be made aware and offered options for a more appropriate level of care.

4. As services begin with the referred member, they will identify their desired goals, and a Person-Centered Plan will be created utilizing a collaborative approach. The member will meet with the ACTT psychiatric provider to begin management of their psychiatric medications and choose a pharmacy.

Please complete the form below then hit SUBMIT when done. We will follow up with you shortly.

PDF Referral Form

Should you wish to submit a more detailed referral form and more complete information, click the link below to download our Referral Form. After opening our Referral Form, save it to your computer, then re-open it, complete it by typing in information or checking appropriate boxes, then resave it before emailing it to us.

Please attach and email the completed referral form to: latipton@seasidehc.com