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Pasadena Villa Outpatient – McLean
Client Referral Form

Once you’ve submitted the form below:

  • An Admissions Coordinator will reach out to you to walk through the admission process
  • If you have clinical records related to the referral, those can be faxed to 424.416.7238 or emailed to OBH-OP-Admissions@odysseybh.com. Clinical records should include the client face sheet, insurance information, current clinical evaluation, three most recent progress notes, medication list, and discharge plan.

Thank you for referring your clients to <<Facility Name>>. Please complete this online form so we can have all the information required to get your client started in PHP, IOP or virtual treatment.