Welcome to the Independence Hall Admissions page – please see our referral forms available below:
Please submit the following to be considered for admission: (1) The referral form below and (2) A biopsychosocial assessment.
Please call or email us if you have any questions:
Phone: 508-845-6176 (Ask for Admissions)
Email: [email protected]
Medical Documentation Submission Fax: 855-710-7852 / Billing Fax: 508-546-1255


