Guide for Community Partners

Pine Rest offers a full continuum of outpatient, telehealth outpatient, inpatient and partial hospitalization, and residential behavioral health and addiction services for people of all ages. We participate with most health insurance plans, and our staff is happy to assist you or your patient with questions about coverage and payment.

Learn more about our services:

Telehealth Outpatient
Partial Hospitalization (Day Programs) 

Referring Patients & Obtaining Treatment Information

Outpatient ServicesTraditional Outpatient

Referring Patients

Referrals for counseling, assessments and other outpatient services can be made via fax, phone call or through Great Lakes Health Connect.

Clients can now complete all new patient forms online, otherwise, they must bring a completed printable New Client form to their first outpatient visit.

Phone: 866.852.4001
Fax: 877.242.6963

Referral Forms

Referral Form     GLHC

Patient Forms

New Patient     Telehealth

Patient Information

For information about a patient’s outpatient care, call the clinic where services are provided. If you do not know which clinic the patient received services, call 866.852.4001.

Hospital Based Services

Meeting Of Support Group

Referring Patients

Call 616.455.9200 or 800.678.5500.

If you have a patient in crisis, a call to our hospital’s Contact Center is an important step. Your call helps us gather information for a safe admission and determine if Pine Rest has an appropriate bed available. Clinicians are available 24/7. Primary care physicians, therapists and psychiatrists receive hospital courtesy calls, provided a release of information has been signed.

The following details are needed when a referral is made:

  • Patient Name
  • Birth Date
  • Address & Phone Number
  • Insurance Policy Holder Data
  • Outpatient Provider
  • Medication(s)
  • Current Problem and Symptoms
  • Addictions Data (current use)
  • Significant Medical Problems

For a scheduled evaluation, the patient and/or guardian must bring:

  • Driver’s License or Other Picture I.D.
  • Insurance Card(s)
  • Social Security Number
  • Court Papers
  • Custody Papers
  • Medication List

Patient Information

Call our Health Information Management department at 616.281.6349 for information about the care of a patient in Pine Rest’s hospital including inpatient and partial hospitalization. Primary care physicians, therapists, and psychiatrists receive hospital courtesy calls, provided a release of information has been signed. Staff from Pine Rest’s Contact Center will notify you that your patient has been admitted and let you know who to call for information.*

Pregnant and Postpartum Services
partial mother baby

Consent to Contact

Many women are anxious to call Pine Rest even if you have referred them. Having your patient complete and sign our Consent to Contact Form will allow staff from Pine Rest to call the patient to schedule services or discuss care options such as outpatient counseling or our Mother and Baby Partial Hospitalization program.

For Referral and Patient Information, please see the Inpatient & Partial Hospitalization and Outpatient tabs above.

Addiction ServicesTAB BOX-Addictions-500x340

Pine Rest offers a full continuum of addiction services that range from residential detoxification to traditional outpatient services. All of the service components in the continuum welcome those who also have mental health disorders. We believe that there should be no wrong door for individuals to access substance use disorder treatment.

With one call to 866.852.4001 we can guide you or your patient through the process of inquiry, assessment and admission to the most appropriate level of care. We will assist with understanding insurance benefit, explain what other sources of funding might be available and qualify your patient for treatment.

Release of Information Forms

Inpatient & Partial Hospitalization Release of Info Form: Inpatient & Partial Release of Info
Form Example
All Michigan Clinics Online Form (Michigan)
Printable/Downloadable Form (Michigan) Michigan Example 616.281.6394
All Iowa Clinics Online Form (Iowa)
Des Moines Clinic (Iowa) Printable/Downloadable Form (Des Moines, Iowa) Iowa Example 616.281.6394
Pella Clinic (Iowa) Printable/Downloadable Form (Pella, Iowa) 616.281.6394
*In compliance with both The Michigan Mental Health Code and HIPAA, we can only share information with you if the patient has signed a release of information. If you are unable to get the information that you are requesting, guide the patient through completing the release of information following the example and directions provided. Fax the completed release of information to the appropriate location with a statement about what information you are requesting.

Professional Education

Pine Rest offers many continuing educational opportunities for staff and community practitioners to promote clinical excellence and excellent care for everyone in the communities we serve. Our growing number of outstanding lectures and training experiences include Grand Rounds, Pearls for Primary Care, the Perinatal Mood Disorders Conference and the William Van Eerden, MD, Lecture Series. Below are upcoming opportunities.

  • Fri May 4th 2018 8:30 am - 12:00 pm

    Domestic Violence and the Workplace Training

    Postma Center at Pine Rest, Grand Rapids MI

    Free Seminar! Absenteeism, impaired job performance, and loss of experienced employees are costs affecting companies as a result of domestic violence.  The Centers for Disease Control and Prevention estimates the annual cost of lost productivity due to domestic violence is $272 million and 8 million paid workdays.  Domestic Violence and the Workplace is presented by Safe Haven Ministries and The Center for Women in Transition.
  • Fri May 11th 2018 8:30 am - 3:30 pm
    Woman looking at pregnancy test.

    Pine Rest Perinatal Mood and Anxiety Disorder Conference: "Struggling to Conceive: Understanding The Psychological Impact of Infertility and Its Treatments"

    Postma Center at Pine Rest, Grand Rapids MI

    The Pine Rest Perinatal Mood and Anxiety Disorder Conference will educate professionals about infertility treatment and the psychological impact of infertility. Continuing Education Credits: 5.0 CME credits, 5.0 CE credits for social workers.
  • Tue May 15th 2018 9:30 am - 3:30 pm

    Bearing Hope: Mental Health & the Church

    Postma Center at Pine Rest, Grand Rapids MI

    Join us in discovering the intersection of mental health and the church. Learn from experts, pastors, and other local leaders what support is available and how your church can become a safe space. Working together we can build hope in the lives of those wrestling with mental health issues in our community.
  • Wed May 16th 2018 7:00 am - 8:00 am

    Emerging Concepts in the Management of Insomnia in Older Adults (Pearls for Primary Care)

    Postma Center at Pine Rest, Grand Rapids MI

    Attendees will learn how to do a comprehensive assessment of both transient and chronic insomnia in older adults. This lecture will also cover the steps in treating insomnia in older adults including non-pharmacologic approaches, and the clinically appropriate use of hypnotic medications.
  • Thu Oct 4th 2018 8:30 am - 5:00 pm

    Postpartum Support International 2-Day Perinatal Mood and Anxiety Disorder Conference

    Postma Center at Pine Rest, Grand Rapids MI

    The 2-day Postpartum Support International Certificate of Completion Course, taught by expert and engaging faculty, is a thorough and evidence-based curriculum designed for psychiatrists, nurses, physicians, social workers, mental health providers, childbirth professionals, social support providers, or anyone interested in learning skills and knowledge for assessment and treatment of perinatal mood and anxiety disorders This training will also discuss that vicarious trauma is an occupational hazard in child welfare and juvenile justice that often leads to lack of job satisfaction, job productivity, and negative outcomes for youth and families, workers, and workplace. Prevention and self-care can best happen when professionals are able to distinguish and identify personal and professional vulnerability. This module will focus on opportunities to prevent negative effects and self-care after exposures.

View All Events

Presentation and Tours

We are eager to connect with health care providers. Please contact a Pine Rest Referral Relations Coordinator to request an individual meeting, tour, or group presentation. Email or call 616.222.4555 to schedule today!

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