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Serenity Bay Health
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Psychiatrists
Nurse Practitioners
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FAQ
Forms
New Patients
Provider New Patient Referral Form - PDF Download
Provider Patient Referral Form - Web Form
IOP Adult Provider Referral Form
PHP/IOP Adolescent Provider Referral Form
Therapy Referral and Consent
Partial Hospitalization Referral Consent
Release of Information
Services
Adolescent Partial Hospitalization
Adult Intensive Outpatient Program
Spravato
Employment Opportunities
Contact Us
Serenity Bay Health
Our Team
Psychiatrists
Nurse Practitioners
Therapists
FAQ
Forms
New Patients
Provider New Patient Referral Form - PDF Download
Provider Patient Referral Form - Web Form
IOP Adult Provider Referral Form
PHP/IOP Adolescent Provider Referral Form
Therapy Referral and Consent
Partial Hospitalization Referral Consent
Release of Information
Services
Adolescent Partial Hospitalization
Adult Intensive Outpatient Program
Spravato
Employment Opportunities
Contact Us
Folder: Our Team
Back
Psychiatrists
Nurse Practitioners
Therapists
FAQ
Folder: Forms
Back
New Patients
Provider New Patient Referral Form - PDF Download
Provider Patient Referral Form - Web Form
IOP Adult Provider Referral Form
PHP/IOP Adolescent Provider Referral Form
Therapy Referral and Consent
Partial Hospitalization Referral Consent
Release of Information
Folder: Services
Back
Adolescent Partial Hospitalization
Adult Intensive Outpatient Program
Spravato
Employment Opportunities
Contact Us

Provider New Patient Referral Form

To Download - Click Here

Where to find us

946 W Midland Road
Auburn, MI 48611

How to contact us

(989) 266 3188

Made with ❤ in Michigan.

© Copyright 2021, Serenity Bay Health.
All Rights Reserved.

Please contact the Office Manager for any complaints or grievances. If you are not satisfied with the response received, or would like to register a complaint with the State of Michigan, you may do so in the following ways:

  • Call the toll-free Complaint Hotline at 800-882-6006

  • Complete a Health Facility Complaint Form (BHS-OPS-361) and mail to:

  • 611 W. Ottawa Street – Central; PO Box 30664 Lansing, MI 48909

  • Submit the BHS Online Complaint Form on internet at http://www.michigan.gov/dhs by clicking "Health Systems and Licensing," "Featured Services" (buttons in left hand column)

  • Submit a letter with the following information:

    • Complainant’s name, address and phone

    • Facility name and location

    • Patient name and location

    • Date & Nature of incident