Refer a Patient for comprehensive care for depression and anxiety

How it works:

1. Fill out this simple form.

2. We'll reach out to your patient to get them scheduled.

3. We'll keep you updated as your patient’s treatment progresses^*.

   ^* subject to patient consent

Coordinated communication:

We’ll send you a fax or email after their first appointment followed by quarterly updates^*.

^* subject to patient consent

• Provider's name and contact information

• Diagnosis

• Treatment plan

• Medications prescribed

• PHQ-9 and GAD-7 score

We’ll also let you know if for any reason we weren’t able to reach your patient or needed to refer them elsewhere.