Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Old Vineyard Behavioral Health Services before sending sensitive documents. FaxFlow is not affiliated with this organization.
Old Vineyard Behavioral Health Services fax number
(336) 252-2404
Intake
Used for: Fax referrals for intake and admissions processing for behavioral health services (inpatient/outpatient) to the intake department.
Fax destination details
- Department
- Intake
- Purpose
- Fax referrals for intake and admissions processing for behavioral health services (inpatient/outpatient) to the intake department.
- Form
- Referral form — Referral to Old Vineyard Behavioral Health Services
- Address
- 3637 Old Vineyard Road, Winston-Salem, NC 27104
- Voice phone
- 336-794-3550
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fill patient information, referring provider, insurance details, and reason for referral; fax to 336-252-2404.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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