Submit a referral online — our clinical coordinator will follow up within one business day.
Once you submit a referral, our clinical coordination team will reach out to you and the patient within one business day to confirm receipt, verify insurance, and schedule an intake assessment.
Takes about 3 minutes. Include diagnosis, insurance, and patient contact info.
We handle the insurance verification and reach out directly to schedule intake.
We'll loop you in once intake is scheduled so you stay informed on your patient's status.
This form is transmitted securely. For urgent referrals call 623-688-6103 directly.