Referrals

Comprehensive Psychiatric Care

Submit a referral for yourself, your child, or a patient. We provide psychiatric evaluations, medication management, and therapy for adults and children across Illinois.

Referral Hub

If you prefer to submit your referral through our partner portal, use the link below.

Go To NewReferralHub.com (opens in a new tab)

Do Not Share Protected Health Information (PHI)

This referral form is for basic contact details only. Please do not include:

  • Diagnoses, symptoms, or treatment history
  • Medications or prescriptions
  • Insurance ID numbers
  • Date of birth or Social Security number

For anything clinical, use our secure booking portal or call the office.

Do not type clinical details anywhere on this form.

Confirm the privacy acknowledgement above to enable submission.