Mental health referral 2025

Get Form
mental health referral form Preview on Page 1

Here's how it works

01. Edit your mental health referral form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send psychiatry referral form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out mental health referral with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the mental health referral in the editor.
  2. Begin by filling out the 'General Patient Information' section. Enter the patient's name, date of birth, and contact numbers. Indicate if they are pregnant and provide their estimated delivery date.
  3. In the 'Marital Status' section, check all applicable options regarding the patient's living situation.
  4. For 'Reason(s) for Referral', select all relevant options such as individual therapy or medication review, and provide additional details as necessary.
  5. Complete the 'Referral Information' section by providing the referral source's contact information and confirming if the patient is aware of this referral.
  6. Fill in any current or previous treatments and medications in their respective sections, ensuring to include type, dose, and initiation dates.
  7. Finally, check any clinical features or additional factors that apply to the patient’s condition before saving your changes.

Start using our platform today to streamline your mental health referral process for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
If the person is experiencing a mental health problem (e.g., eating disorder, depression, or anxiety) and you do not have the expertise to assist, a referral to a primary care physician () or mental health professional will be necessary.
Description. PRIMARY REASON FOR REFERRAL (MENTAL HEALTH) is the same as attribute REASON FOR REFERRAL TO MENTAL HEALTH. PRIMARY REASON FOR REFERRAL (MENTAL HEALTH) is the primary presenting condition or symptom for which the PATIENT was referred to a Mental Health Service.
Primary care provider: A primary care provider can perform an initial mental health screening and refer you to a mental health professional (such as a social worker, psychologist, or psychiatrist).
What is a mental health external referral? A mental health external referral is an authorization for you to receive services from a licensed mental health clinician who has an active contract with Kaiser Permanente Northern California.
Youll need to talk to your GP to use some mental health services. This is known as a GP referral. Your GP can also talk to you about your mental health and help introduce you to the right mental health service for your needs.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

What happens during a mental health assessment. A GP or nurse may refer you for a mental health assessment. Social care services or educational services also sometimes refer people. Youll have a detailed mental health assessment, which will usually be carried out by a specialist mental health doctor (psychiatrist).

Related links