Refer a Patient for Integrated Care

Provide the details below to connect your patient with specialized, evidence-based psychiatric support for chronic pain and mental health.

Refer a Patient v3

Referring Office Contact
Referring Provider
Patient Information

Please fax the following documentation to Turning Tide Health at (703) 637-3586

  1. Demographic Face Sheet *Including Full SSN or Driver's License & Emergency Contact
  2. Clinical Note with Allergies, medications, and diagnosis code(s)
Patient Referral Comments