Thank you for your referral to Myrtle Mental Health for psychiatric medication management. We appreciate your trust in our care and look forward to supporting your patient’s mental health needs! Please note that all patients must fill out their own “Appointment Request Form” on our website at MyrtleMH.com to ensure patient autonomy and that they are appropriate for this level of care. If you have a patient you’d like to refer, please submit this referral form and we will reach out to the patient. 


1500 Hwy 17 N, Unit 101, Surfside Beach SC 29575 

Phone: 843-604-3012 

Fax: 843-484-6118 

Email: info@MyrtleMH.com