Partner With Allen Psychiatry

Your patient returns to you. We handle specialized treatments and keep you informed.

Submit a Referral

Our team will contact the patient, usually within a few business hours

Fields marked * are required.

What are you referring for? *

Required — tap one or more services. Not sure? Choose “Other” and add a note below.

Patient Name *

Date of Birth *

Phone *

Email (optional)

Insurance (optional)

Member ID (optional)

Notes (optional)

0 / 5,000

Documents (optional)

Upload progress notes, discharge summaries, or insurance cards

Drag & drop files or click to browse

PDF or images (JPEG, PNG, HEIC) • Max 10MB each • Up to 5 files

Your Name *

Practice Name *

Phone *

Email *

HIPAA compliant • Encrypted transmission • We'll confirm receipt

Prefer to call, fax, or email?