Provider Referral

Thank you for referring your patient to Advanced Behavioral Health. Referring providers may use the secure link below to submit referral information for clinical review.

Secure Referral Notice: Referrals submitted through the secure SimplePractice portal are intended for HIPAA-compliant handling of protected health information, including patient referral details, clinical information, and provider contact information.

Information Commonly Requested for Provider Referrals

When submitting a referral, please include the patient’s name, date of birth, contact information, reason for referral, relevant clinical concerns, current safety concerns if applicable, and whether you would like updates regarding patient progress.

Patient Information Name, date of birth, phone number, email, and parent/guardian information when applicable.
Reason for Referral OCD, intrusive thoughts, anxiety, panic, ADHD evaluation, sleep concerns, diagnostic clarification, or other clinical concerns.
Clinical Information Presenting symptoms, current diagnoses, relevant history, medications, safety concerns, and treatment goals.
Coordination of Care Please indicate whether you would like updates on patient progress and the preferred method of communication.

Thank you for your referral to Advanced Behavioral Health.
We appreciate your confidence in our practice. Our goal is to provide specialized, evidence-based care and a professional referral experience for both the patient and the referring provider.

Submit Secure Provider Referral

This referral link directs providers to a secure SimplePractice portal intended for HIPAA-compliant handling of protected health information. Please do not submit emergency or crisis referrals through this form. If there is an immediate safety concern, contact emergency services or direct the patient to the nearest emergency department.