For providers · Refer to Brain Bath
A thoughtful next step
for your patient.
Refer an adult patient for psychiatric evaluation, medication management, or collaborative care. We value the trust you place in us—and the care you’ve already provided.
01 / Share the essentials
Tell us about the referral.
Provide your practice details, the patient’s contact information, and the reason for referral using the form below.
02 / Confirm awareness
Keep your patient involved.
The form asks whether the patient is aware of and consenting to the referral, so that information accompanies your request.
03 / Connect with care
We’ll take the next step.
We’ll review your submission and contact the patient within 1–2 business days to begin the intake process. If we need more information, we’ll reach out to you.
Provider referral form
Let’s get connected.
Looking for care for yourself? Check your coverage and get started here. For referral questions, email support@brain-bath.com.