
Are you a healthcare provider looking to refer a patient? Please fill out the online form below or fax the PDF to 843-484-6118
Please be aware that all patients must submit their own “appointment request form” to ensure Myrtle Mental Health is the appropriate level of care for their needs. However, if you send a referral through either of the buttons above, we will reach out to the patient to discuss the next steps needed in order to establish care.
We value coordination of care, and look forward to working with you to best meet the needs of our mutual patients!