Home · Referral
For primary care providers, therapists, schools and colleagues referring a patient to Lampstand Behavioral Health. Patients can also refer themselves.
Use the form below, or call the office if it is urgent or complicated enough to be worth a conversation first.
The practice reaches out directly to arrange the first appointment, in the office or by secure video.
With the patient’s written consent, we will confirm that they were seen and share what is relevant to their ongoing care.
Best for urgent referrals, or when the clinical picture needs a conversation rather than a form.
Ordinary email is not a secure channel. Send only what is needed to make contact, and send clinical records through a secure route agreed with the practice.
Consent and confidentiality. Please make sure the patient knows you are referring them and agrees to it. Do not send detailed clinical history through this form. Keep it to enough for us to make contact, and arrange secure transfer of records separately.
Fill this in and it will open your own email application with the referral ready to send. Nothing is submitted to any third party from this page.
For patients
You do not need a referral from another clinician to be seen here. Send a request through the contact page, or call the office and we will take it from there.