If you are a Hospital detox service, medical unit, or ER, print out, complete and send us our Hospital Referral form via e-fax 315-413-5106 or main fax 315-696-8509. Hospital Referral Form
If you are an Outpatient agency/clinician, print out, complete and send us our Outpatient Agency/Clinician Referral template via e-fax 315-413-5106 or main fax 315-696-8509. Outpatient Referral Template
If you are a medical practice/healthcare professional, print out, complete and send us our Medical Practice/Healthcare Professional Referral form via e-fax 315-413-5106 or main fax 315-696-8509. Medical Practice Referral Form
If you are an EAP, legal entity, HR or other employer representative, family member/friend/alumnus-alumna referring someone, or referring yourself please call 315-696-6114 or 800-456-6114 (Admissions) with your referral information.
Everyone referred to us for admission has to contact Admissions and be pre-screened by our Intake staff. Our comprehensive pre-admission screening gathers the following information (hospitals, outpatient agencies/clinicians, medical practice/healthcare professionals – your template will already provide us some of this information):
Once that information is obtained, it is presented to our clinical/medical team which determines if an evaluation is warranted. If so, our Intake Coordinator will confirm with the person being referred that he or she qualifies for an evaluation and will schedule it on a day and time available at Tully Hill and to the referred person. Details pertinent to the process (e.g., transportation, insurance coverage responsibilities) also will be conveyed at this time.
Our evaluations take place at 8:30 am and 12:30 pm Monday through Friday. Our Evaluation Team – our evaluator, admissions nurse, Clinical and Medical Directors – reviews the evaluation information. The team will discuss the diagnosis with you and recommend a level of care. Evaluations take about three (3) hours to complete.
When we schedule an evaluation, the prospective patient needs to come prepared for the possibility of a recommendation to Inpatient treatment. We communicate this possibility at Intake. For what to expect at and bring to an evaluation, see Evaluations and Admission
Tully Hill requests that patients be picked up promptly at 8:00 a.m. on the day of discharge.