Become a Partner

What does it mean to become a Community Partner?

Community Partners are mental health champions who work directly with us to bring psychiatric care to those who otherwise do not have access.

Does your facility have 5 or more referrals a month to psychiatry?
Do you want to manage your patients' scheduling?

If you've said yes to these questions, please fill out the Community Partner inquiry form and we will contact you to better assess the needs of your facility.

If you said no to any of these questions, please be a referring partner and refer your patients by clicking HERE.

Become a Community Partner

* Indicates required field

name of facility *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Your Name *

First

Last

Phone Number *

Email *

how many patients do you expect to refer per month *

1-2 3-5 6-9 10+

Will your patients be seen in your office or at home? *

Office Home

Are you interested in Emergency Room services? *

Yes No Undecided

Comment *

Submit

Become a Community Partner!

What does it mean to become a Community Partner?

Become a Community Partner