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Professional Referrals

For Professionals

If you are a medical professional looking to make a referral to Provo Canyon Behavioral Hospital, please complete and submit the following form. A member of our assessment and referrals team will reach out to you shortly.

Get the Help You Need Now

Our staff of professionally-trained assessors will be able to assist you over the phone, and provide you with information on getting the help you need. We offer no-cost assessments 24 hours a day, 7 days a week. Don’t hesitate, call 801-852-2273 today.