Tully Hill®

Thanks For Your Referral Form

Please follow the instructions below to complete the referral process:


~Please send us a copy of the client’s current evaluation & psychosocial bio, any drug screen results, a signed Release of Information, and your cover sheet.

Email: admissions@tullyhill.com // Efax: (315) 413-5106 // Fax: (315) 696-8509


~YOUR PATIENT MUST CALL US AT: (315) 696-6114 or (800) 456-6114 — extension 122, 126, or 127.

We will then finish our admission pre-screen with your client (we will need to obtain from him or her additional medical information, treatment and medication history, and employer and any past or pending legal information) and get back to you if we have any questions, or need more information.