New Member Referral

For use by licensed mental health professionals

Dear mental health professional:

Thank you for your interest in referring a prospective member to the Academy. We are pleased to offer an encrypted, secure electronic submission option. Please complete the online form below. Items marked with an (*) are required.

Alternatively, you can download the PDF, print our new member referral form and return it to us by regular mail, confidential fax, or drop it off at one of our locations.

For assistance, contact our Enrollment Coordinator.



Referral Form

Step 1 of 3: Prospective member information


You're invited!

Stop by and see what we're all about

We welcome you to come take a tour of the Academy. See the teams in action and enjoy a healthy lunch prepared onsite. To better accommodate you, appointments are preferred.

Schedule a tour Contact us
You're invited!

Sarasota Campus

1910 Glengary St.
Sarasota, FL 34231
(941) 921-9930

Bradenton Campus

601 12th Street West
Bradenton, FL 34205
(941) 929-2800

A network partner of:

Fountain House United

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The Academy at Glengary, Inc., is a 501(c)(3) charitable organization. All donations are tax-deductible to the extent allowed by law. The Academy at Glengary is registered with the state of Florida (CH56160). A copy of the official registration and financial information may be obtained from the Division of Consumer Services at or by calling toll-free 800-435-7352 within the state. Registration does not imply endorsement, approval, or recommendation by the state.

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