Make a Referral

Connect your patient with one of our Providers by choosing either option below.

Register and Schedule Online

Submit a Referral Form

What we do after receiving your referral:

By the next business day after receiving your completed referral form, we will call the patient to schedule an appointment. We will make at least 3 attempts to contact the patient.

If we are unable to reach the patient, if they do not return our messages and/or they choose not to schedule with us, we will notify you that we were unable to schedule an appointment.

Services we do NOT provide:

  • No detox, court mandated therapy, forensic psychology, or sex offender treatment
  • No counseling for schizophrenia, psychosis or mania. 
  • No ADHD Testing – Visit our Resource Page for sites that offer ADHD Testing
  • Our Psychiatrist can do symptom diagnosis of ADHD and can prescribe ADHD medications for ages 18+. 
  • No higher level of care – We offer outpatient services only. We do not have IOP, PHP, residential or inpatient programs.

Insurance Information:

  • View insurances we accept HERE.
  • We do NOT accept Anthem, Blue Cross Blue Shield, UHC Community, Medicare, Medicaid, or Caresource. 
  • Cynthia Churchill, MD, does not accept UHC/UMR/UBH

Consultation with a Provider:

If you need to connect with one of our providers for a consultation prior to the patient’s appointment or in the process of the referral, please use the contact form on the bottom of the provider’s profile page.