REDCap

The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit North American phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

Thank you for your interest in the McLean STAR Program. To make a referral, please complete the McLean Adult and Geriatric Outpatient services referral form. The referral form can be accessed through this link:

Adult Outpatient Services Referral Form

We use this form to collect and organize referral information to ensure we are able to provide timely, appropriate service. Once submitted, our team will review and contact the individual seeking services with next steps which could include:

Scheduling an initial assessment with our clinicians. Note: scheduling and completing an initial assessment is not a guarantee of services being offered);
A phone call or email with recommendations for seeking appropriate care at another treatment facility or program;
A phone call or email requesting additional information to review.

Given the high volume of requests we receive, you may not hear back from us immediately.

Please note, this form is not intended for emergencies or crisis and is not monitored in real time. If you are experiencing a medical or mental health emergency or crisis, please call 911 or go to your nearest emergency room.