BHSPC Referral Form


  • The following form can be downloaded, filled out, and returned to BHSPC in one of the following ways: 

    • Mailed to: 309 E. Main Street Pickens, SC 29671

    • Faxed to (864)898-5804

    • Emailed to:​

  • Please use a black or blue ink on the referral form. 

If you should have any questions about the referral process, please give our office a call at


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