Referrals

Thank you for considering partnering with us in your patient’s care. We will contact your patient within 2 business days of receiving your request to discuss our role as part of their treatment team.

Please note we specialize in working with patients living with a chronic medical illness and prioritize requests for these specific services.

If you are referring a patient for telehealth, please keep in mind that they must live in the state of Illinois OR in a state that participates in the PSYPACT interstate jurisdiction compact shaded in the darker blue on this map. By law, our clinicians can only practice in the state in which they are licensed.

Go back

Your message has been sent

Referring Clinician’s Name

Referring Clinician’s Email

Referring Clinician’s Phone Number

Patient’s Name (If the patient is a child, please give a parent’s name)

Patient’s Email

Patient’s Phone Number

Patient’s Date of Birth (YYYY-MM-DD)

Reason for Referral (Check all that apply)(required)

Optional: Additional Information regarding reason for referral

Specializing in Brain-Gut Behavioral Therapies for chronic digestive diseases.

Referrals

Your message has been sent

recent ramblings