Provider Referrals

We accept referrals from primary care providers, therapists, and case managers. Send the items below and we'll confirm receipt within 48 hours and typically schedule new patient appointments within 2 weeks.

Patient information

Patient first name *

Patient last name *

Patient date of birth

Patient phone *

Patient email

Referring provider

Your name *

Credentials / NPI

Practice / clinic name

Practice phone / fax

Clinical information

Primary concern / diagnosis (if known)

Urgency *

Routine (2 weeks) Priority (1 week) Urgent (same day)

Insurance

Clinical notes / specific concerns

Prefer fax? Send to (480) 459-3339 with subject "Referral: [patient last name]".

Insurance we accept for referrals

Aetna · UnitedHealthcare/Optum · Oscar · First Health · Medicare · Multiplan · Cigna · Tricare · TriWest VA Community Care · RR Medicare · Flexible Self-Pay

Provider Referral

Securely refer a patient for mental health services. We appreciate your trust in our practice.

Submit Referral

Get in Touch

Whether you have a question, an idea, or just want to say hello, feel free to reach out—we’re here to help.