Al Masarra Hospital, (AMRH) as the only tertiary psychiatric hospital in the country, has a growing statistic of geriatric patients coming from in and out of Muscat governate. AMRH’s Geriatric Psychiatry Unit endeavors to achieve precise balance between quality, cost and time effectiveness, and patient satisfaction through proper implementation of Patients Referral System from Geriatric unit to local/regional psychiatry health care facilities based on systematic and scientific methodologies and feasibility to local psychiatry health care services.