Refer A Patient

Refer Your Patients to Charis Behavioral Health

Fill out our quick & easy form to connect your patient to PHP/ IOP mental health treatment.

Why refer to Charis instead of other PHP/IOP programs?

Personalized Treatment

We cap our census at 12 children
Group, Individual, and Family Sessions Multiple Times Per Week
Elevated Program Offerings

Weekly equine therapy, daily yoga, sleep studies, etc.

FastTrack Referral Form

Please use this form to provide information on patients you are referring to Charis Behavioral Health.

What is your name?(Required)

What city are you in?(Required)

What is your organization/practice?(Required)

What is your email?(Required)

What is your phone number?(Required)

Patient Name(Required)

Patient's DOB(Required)

Is there anything else you would like us to know about this patient that would help in ensuring a timely admissions process and effective care delivery?

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