How to Refer

In order to be considered for admission to the Adult Partial Hospital Program (APHP), you must currently be under the care of a mental health professional and that provider must contact APHP directly to refer you.

The following outpatient referral form must be completed by the current provider and can be emailed to our admissions coordinator at PHPReferrals@mednet.ucla.edu 

• Outpatient Referral Form 

Additional clinical information will be requested as needed. Please call our main office for further questions.