Patient Referral

Helping your patients find the right mental health care provider isn’t always easy. We’re here to partner with you and provide your patients with quick, seamless access to high-quality psychiatry and therapy.

Referral Form

(This page is for medical professionals. If you are a new or returning patient who would like to make an appointment, please click here.)

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Exactius

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referral type

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Market (lead_source)

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Inquiry Date

Referral Information

Region(Required)

Referring Clinic / Organization(Required)

Referring Clinician(Required)

Clinician's Email Address(Required)

Clinician's Phone Number

Patient Information

Patient's First Name(Required)

Patient's Last Name(Required)

Patient's Phone Number(Required)

Patient's Email(Required)

Patient's Date of Birth(Required)

State(Required)

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Street Address

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City

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Zip Code

Patient's Insurance Company(Required)

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Patient's Policy Number

Preferred Location

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Preferred Location - Hidden

Clinical Information

Clinical services requested:(Required)

Therapist

Psychiatric Provider

Please provide a reason for the referral:(Required)

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Services Requested:

Therapy

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Services Requested:

Medication

Consent(Required)

Referral has been discussed with the patient and they agree.

SOL Mental Health adheres to HIPAA compliance and safeguards your personal information. However, we are not responsible for cyberattacks or interference. If you are experiencing an emergency, please dial 911 or visit this page for more resources.

Professional Referral Line

Colorado
Phone: 877-618-4143
Fax: 877-488-1577

DC Metro
Phone: 240-905-5103
Fax: 866-421-4317

New York
Phone: 929-577-3307
Fax: 877-929-2508

Texas
Phone: 832-346-7098
Fax: 877-765-5739

We are fully in-network with nearly all major commercial payors

Refer A Patient

Mental Health Services

Provided by our fully licensed staff that includes psychiatrists, psychologists, and other mental health professionals

Psychiatry

Licensed and professionally trained psychiatric team to provide diagnoses and medication management services.

Therapy

Confidential and safe therapy sessions provided by our licensed and professional staff.

In-Person and Virtual Care

We are proud to offer both in-person and virtual therapy and medication management services.

Refer A Patient

Every psychiatric clinic treats:

Anxiety
Disorders

Mood
Disorders

Depressive
Disorders

We have clinicians who also have experience with:

Anger
Management

Autistic
Spectrum
Disorders

Eating
Disorders

Gender
Dysphoria

Obsessive
Compulsive
Disorders

Traumatic
Related
Disorders

Substance
Use
Disorders

Personality Disorders

And who are experienced with supporting:

Chronic
Medical
Conditions

Chronic
Pain

Grief /
Bereavement

Justice
System
Involvement

Career

Sexual
Health

Sports
Psychology

Women’s
Mental
Health

Perinatal
Care

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