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866-542-4455
203-966-3561
Admission Form

For Medical Professionals – How

How To Admit Your Patient To Silver Hill Hospital

We recognize that emergent clinical needs and busy schedules require a rapid response to requests for admission to Silver Hill Hospital. We strive to respond immediately to clinician referrals and to make the admissions process smooth and efficient for you and patients in your care.

 

To contact the Admissions Office, please dial the priority line dedicated to professionals: 203 801-2216 or toll-free 866 542-4455, extension 2216.

 

All that we require from you is the patient’s name, their contact information, a brief clinical summary and why you are referring the patient for treatment. We will contact the patient to complete an admission intake and schedule an admission.

 

The Admissions Office is staffed by psychiatric nurses and social workers from 9:00 a.m. to 10:00 p.m. Monday through Friday and 9:00 a.m. to 9:00 p.m. on weekends and holidays.

Refer a Patient

Referring Clinician
 
First Name * Last Name *
 
Email Confirm Email
 
Phone *
 
Patient
 
First Name Last Name
 
Phone Date of Birth
Calendar
 
Reason for Referral
 
Brief History, including Medication Trials
 
Current Medications
 
Recommendations and Plan
 
Attach File 
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