Refer a Patient to Phoenix Health

Thank you for entrusting us with your patient's care. We respond to all referrals within one business day.

1 business day

We respond to every referral within one business day

Most insurance accepted

Aetna, BlueCross, Cigna, United +9 more

PMH-C certified

Specialists in perinatal mental health, not generalists

HIPAA-secure

All communications and records meet HIPAA requirements

Submit a Referral

Fields marked * are required.

Your Information

Your Name *

Name of Practice

Your Email *

Your Phone

Preferred Contact Method

Remember my information on this device for future referrals

Patient Information

Patient information is never saved on this device.

Patient's Full Name *

Patient's Phone

Patient's Email

Patient's State *

Preferred Contact Method for Patient

Additional Information

Add additional documentation (optional)

Click or drag to upload documents

PDF or DOCX · max 10 MB each · multiple files allowed