Required Forms & Paperwork

Please fill out the necessary forms below to help expedite the referral and admissions process for you or your loved one. All requested information must be completed for complete admission and timely insurance claims.

Additional Information on Mental Health

Please browse the following sites for more information and downloads that can inform and educate you and your family about mental health issues on a national scale.


Help Is Always Here

Brentwood Hospital is available 24 hours a day, 7 days a week to provide a no-cost, confidential assessment for you or your loved one. Please call 877-678-7500 or use our online contact form to begin an assessment or obtain more information about our programs. In the case of a medical emergency or crisis please dial 911 or go to the nearest emergency room.