Patient Referral

Please use this form to submit patient referrals to PsychPlus. Our scheduling team will contact the patient to verify their information and schedule an appointment with one of our providers.

By using this referral tool, you are consenting to PsychPlus’s Privacy Policy and Terms & Conditions.

Submit a Referral

Referrer Information

Patient Information

Select Your Future Appointment Date

Date selected must be 48 hours away or greater. Available hours are 9am - 5pm Monday through Friday.