Patient Referral

The Referral Process

Referrals must be completed by a physician or nurse practitioner. We do not accept self-referrals or psychotherapy-only requests.

We require:

  1. A completed referral form (available via secure link)

  2. Confirmation that the patient has an ongoing PCP or NP for continuity of care

  3. A brief clinical summary outlining the reason for referral and urgency

Note: All patients are returned to their referring provider after consultation and/or short-term follow-up.

Referral Form