Referring Providers

If you would like to refer someone to Florida Parishes Human Services Authority’s residential treatment programs, Alcohol and Drug Unit (ADU) for women, or Fontainebleau Treatment Center (FTC) for men, please email the supporting please fax the listed information below to 985-624-4123 for consideration. 

  1. A completed statewide referral form (click here);
  2. The most Recent Psychosocial Assessment;
  3. MAR (if hospitalized); and
  4. Most Recent Progress Notes (indicating mental/physical stability with expected discharge date).

Thank you for referring to Florida Parishes Human Services Authority. To stay current with FPHSA news, please sign up for our community newsletter.

FPHSA’s residential treatment program forms

For information for persons being admitted to ADU for women click here.

For information for persons being admitted to FTC for men click here.