Referral Form
Quantum Mental Health Wellness Center welcomes referrals from healthcare providers, schools, and community organizations.
Our referral process is simple, secure, and designed to support timely access to care.
Who this is for?
- Primary Care Providers
- Schools and Educational Staff
- Therapists and Behavioral Health Providers
- Case Managers
- Hospitals and Health Systems
- Community Agencies
Services We Accept Referrals For
We accept referrals for mental health counseling, substance use counseling, psychiatry, and integrated care services. Once a referral is
submitted, our team will review the information, verify insurance when applicable, and contact the client to discuss next steps.
All referrals are handled with confidentiality and HIPAA-conscious practices.
Mental health counseling
Substance use counseling
Psychiatry
Integrated care services
What Happens Next
- Our team reviews the referral
- Insurance is verified when applicable
- The client is contacted to discuss next steps
Referring Provider Information
Please do not include full client names. Initials only.