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:

edLn5IjcgbjSr84dSsTFE6xhxifLYrR5XNPuDCmINRLpZeNxnELRVnRRLnXZdiLErUmWyk6SrN4f7vkTgUiHoEnqwKWMChj8kaqFph2meAVKM8a5Z6d

Dear Referring Provider,

We thank you for your interest in our Mount Sinai Partial Hospitalization Program (PHP) at the Harlem Health Center.

Our referral mechanism has changed. 

Please complete a referral by using the link or QR code below to access our new referral form:

Mount Sinai - Ambulatory Behavioral Health Referral Form

Note: When completing the form, make the correct selections to indicate you are submitting a referral to the Partial Hospitalization Program (PHP) and select preferred location of Upper West Side/Mount Sinai Harlem Health Center (158 W 124th St).

For questions on submitting new referrals, please reach out to:
212-241-3170 or PHPreferrals@mountsinai.org

Sincerely,

PHP Team
158 West 124th Street (5th Floor), New York, NY 10027
212-241-6111