Your families are in good hands.

Here's what's next:

1. Manatee reaches out to the family
2. Family completes a quick questionnaire and matches with a provider
3. Intake takes place within 2-5 days
4. Manatee informs you when intake and treatment plan are complete

If we are not the right fit, we will provide them with additional resources or connect them with our partners!

📠 Prefer to Fax?

Fax referrals to (800) 694-3053 using our Manatee Fax Form.

Refer a patient to Manatee

1. Referring Provider

Clinic or Organization

2. Patient Information

• First name
• Last name
• Date of Birth
• State

3. Caregiver Information

• First name
• Last name
• Phone number
• Email

4. Referral Notes (Optional)

Insurance, care preferences, diagnosis or presenting issues etc.

Notes

Submit Referral