Referral Information and Forms

 

UPDATE

The Durham office now has walk-in clinic hours. El FuturoThese are for new intakes only. If you have insurance, please make sure to bring your insurance information with you when you arrive to the clinic. If this is a JCPC referral, please have the family bring the JCPC referral form to the first appointment.

Walk-in clinics take place every Monday through Thursday, from 9am to 12pm each day, operating on a first-come, first-served basis. If there are not enough spaces available, you will be asked to return the next day.

 

We are currently accepting new clients seeking behavioral health services in Durham and Siler City!

Click here for the JCPC Referral Form.

Click here for the Release of Information Form.

Click here for the Telepsychiatry Form.

 

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If you or your client need assistance with finding a Spanish-speaking mental health provider in the area, please contact your county’s respective MCO:

Alliance Behavioral Health: 1-800-510-9132
Cardinal Innovations: 1-800-233-6834
Sandhills MCO: 1-800-256-2452

Emergencies: Call 911 or go the emergency room nearest to you.

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All staff members (clinicians, front desk staff, volunteers, and trainees) are bilingual in Spanish and English. All signs posted in our clinics, as well as patient education materials, are either in Spanish or bilingual.

We accept Medicaid, Health Choice, and other insurances. We also serve those who do not have insurance. For further questions surrounding payment, we encourage clients to attend our orientation appointments. El Futuro firmly believes that money should be no obstacle in accessing quality healthcare.

 

(last updated: 3/25/15)

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136 E Chapel Hill St.
Durham, NC
Phone: (919) 688-7101

319 A East 3rd St.
Siler City, NC
Phone: (919) 799-2625

Fax: (919) 688-7102