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Refer a patient

Refer a patient in 30 seconds.

Tell us who to call. We will reach out the same business day and send clean notes back to you after the visit.

Referring provider

The clinician sending this referral

Optional

Optional

Patient you are referring

Information about the person you want us to see.

Optional. Urgency, language preference, caregiver context, etc. Please skip clinical detail and PHI — we capture that on the intake call.

Submissions are encrypted in transit. Please do not include MBI, full DOB, or clinical notes here — we capture those on a HIPAA-compliant intake call.

When you are ready

The first step is a conversation. That is all.

No commitment. No pressure. Tell us what is going on, and we will help you figure out what comes next, even if it turns out that next isn’t with us.

With care, the Mindspan team