Referral Health Form

Making Referrals Easy for Your Care

At Polished Mind Psychiatry, we strive to make the referral process straightforward and supportive for both providers and patients. If you are a healthcare professional looking to refer a patient for psychiatric evaluation, medication management, or focused therapy, we are here to collaborate closely to meet your patient’s unique needs. Patients can typically be seen within 24-48 hours of referral. We offer both therapy and medication management, making us a comprehensive, one-stop provider for mental health care.

Why Refer to Us?

  • Experienced clinicians who are dedicated to personalized mental health care.
  • Comprehensive outpatient evaluations and diagnoses.
  • Collaborative approach with referring providers for coordinated care.
  • Support for a wide range of conditions, including anxiety, depression, bipolar disorder, addiction, and more.
  • Flexible appointment options to accommodate patient schedules.

How to Refer

Please submit referrals via our secure referral form, upload referral documents directly through the form, or fax to (214) 983-1110. You may also contact our referral coordinator directly at (214) 378-5577. We ensure timely follow-up to facilitate your patient’s journey toward improved mental health and wellness.

Take a Mental Health Test

Online screening is one of the quickest and easiest ways to determine whether you are experiencing symptoms of a mental health condition.