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PHONE: 321-259-1662 E-MAIL: contact@livewellbehavioralhealth.com
Request An Appointment
PHONE: 321-259-1662 E-MAIL: contact@livewellbehavioralhealth.com
Request An Appointment
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Provider Referrals

Refer a client to LiveWell Behavioral Health. Our intake team reviews every referral and reaches out to the client within one business day.

For Professional Referral Partners

This referral form is intended only for healthcare providers, clinicians, schools, hospitals, case managers, community organizations, and other professional referral partners referring a client to LiveWell Behavioral Health.

If you are an individual seeking services for yourself or a family member, please do not use this form. Instead, please visit our Request an Appointment page or contact our office directly at (321) 259-1662 so our team can assist you in getting started.

Not a provider?

Seeking care for yourself or a family member? Start here instead.
Request an Appointment

Submit a Provider Referral

 

Please share the details below. For urgent needs, call our referral line at (321) 779-7730.