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HERE FOR YOU  

(321)-972-4265

We value our clients and partnering agencies, if there are any concerns or requests please reach out to our administration team and we will do our best to accommodate any of your inquiries.

REFERRAL UPDATES

referrals@pbsfl.org

Inquiries related to initiating services, referral status, provider contact or additional concerns related to services. 

CARE COORDINATION

mramos@pbsfl.org

Medical record request, linkage to additional services, or request changes to services/provider.

QUALITY SERVICES

mjohnson@pbsfl.org

Inquiries related to treatment approach, satisfaction of services or additional concerns for quality services.

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We are here to help you find a positive solution.

We are here to help you enter the next chapter of your life. Please feel free to complete the referral form or for quick inquiries please call our main office (321)-972-4265.


For information related specifically to events, workshops, partnerships, and affiliations, please reach out to our Community Relations Director (Juanita Carbajal) at jcarbajal@pbsfl.org

Name*

DOB*

Parent/Guardian (Minor)

Email Address*

Phone*

Insurance/Member ID*

Home Address*

Interested in Telehealth/Virtual Counseling *

Language Preference*

Reason For Services*

Referral Source

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