Refer a Patient to Comprehensive Minds

At Comprehensive Minds, we value collaborative partnerships with healthcare professionals to provide psychiatric treatment. Referring your patient to our care ensures they receive personalized, evidence-based support on their journey to recovery.

Submit a Referral

Please complete the form below to refer a patient to Comprehensive Minds. Our team will review the information and contact the patient promptly to arrange an initial consultation.

Contact Information

Contact Name*

Contact Phone Number*

Contact Email*

Patient Information

Full Name*

Date of Birth*

Phone Number*

Email Address*

Preferred Contact Method*

Address*

Secondary Contact

If available, please provide a secondary contact for further communication:

Full Name

Phone Number

Email Address

Clinical Information

Please upload any relevant clinical notes or information that will help our team provide the best care possible for the patient.

Reason for Referral*

Upload file* Upload any pertinent clinical notes, assessments, or lab results.

Terms & Conditions

By submitting this referral, you confirm that you have obtained the patient's consent to share their personal and medical information with Comprehensive Minds for the purpose of facilitating treatment. You also acknowledge that all information provided is accurate to the best of your knowledge.

I agree to the Terms & Conditions.