Refer a Patient

At Penfield Psychiatry, we are dedicated to improving access to care for better patient outcomes. We accept most insurances, offer online and in-person appointments, and provide specialty therapies and emerging treatments. With continuity of care through all stages of the mental health journey, we help your patients achieve a healthier life

Patient's First Name
Patient's Last Name
Name of Responsible Party (if not patient)
Patient DOB
Patient's Phone
Patient's Email
Health Insurance
Referrer's Email Address
Referrer's Practice Name
Referrer's Full Name
Referrer's Phone Number
Patient's Gender
What is the reason for your referral? Please provide information such as diagnosis or any pertinent details that may help us effectively treat your patient.
Referral Submitted Successfully
Thank you. The referral has been submitted to Penfield Psychiatry.
Please direct your patient to “Get Appointment” on our website to complete the required intake paperwork.An appointment cannot be scheduled until the paperwork is completed and submitted.
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