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Referral Form

It begins with a phone call. When you or someone you know is in crisis, let us help. Crescent Pines Hospital offers free assessments to make recommendations for treatment.

Crescent Pines is dedicated to providing the highest level of quality care to our patients. The Joint Commission’s gold seal of approval on our website shows that we have demonstrated compliance to the most stringent standards of performance, and we take pride in our accreditation.

Crescent Pines Hospital's National Quality Seal of Approval by The Joint CommissionThe Joint Commission standards deal with organization quality, safety-of-care issues and the safety of the environment in which care is provided. If you have concerns about your care, we would like to hear from you. You may contact us, toll-free, at 770-474-8888

If you do not feel that your concerns have been addressed adequately, you may contact The Joint Commission at: Division of Accreditation Operations, Office of Quality Monitoring, The Joint Commission, One Renaissance Boulevard, Oakbrook Terrace, IL 60181, Telephone: 1-800-994-6610.

Do not use the form below if you have a medical emergency or urgent problem. Instead, please call us at 770.474.8888. If you need immediate medical assistance, please contact 911 or seek the nearest emergency room. Any information submitted using this form is transmitted securely and held in strictest confidence, protecting your privacy.

Crescent Pines Hospital accepts referrals 24 hours a day, 7 days a week from professional referral sources, family members, and consumers. To make a referral or schedule a free and confidential assessment, you can complete the form below or call Crescent Pines Hospital at:

Main: 770-474-8888
Fax: 678-593-4801