Provider Referrals

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Insurance we accept

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Referrals made simple.

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Start your referral
Submit a brief referral form with your patient’s contact information.
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We handle outreach
Our administrative team contacts the patient directly to complete intake and schedule an appointment.
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Your patient receives care
Our team of psychiatrists and psychiatric nurse practitioners provides thorough evaluations, medication management, and ongoing follow-up care.

Frequently Asked Questions

Comprehensive Psychiatric Care

Arkansas Psychiatric Clinic provides diagnostic evaluations and medication management for a broad range of psychiatric conditions in adults and adolescents. Areas We treat Include:
ADHD (Attention-Deficit/Hyperactivity Disorder)
Depression (including treatment-resistant depression)
Bipolar Disorder
Anxiety Disorders
Obsessive-Compulsive Disorder (OCD)
Post-Traumatic Stress Disorder (PTSD)
Postpartum Mood Disorders
Insomnia and Sleep Disorders
Substance Use Disorders
Mood Disorders
Psychosis

    Referral Form

    Please complete this form to refer a patient to Desert View Counseling and Consulting. Required fields are marked with an asterisk.

    Below this line of text please add the following message: “Mental Healthcare & Healthcare Providers Only: This online form is exclusively for licensed mental healthcare and healthcare providers referring patients to our clinic. If you are a new or existing patient seeking services, please contact our clinic directly at 623-487-7763 or contact us

    Referring Provider Information

    Our scheduling department will notify you once the patient is scheduled or if the patient declined to schedule.

    Patient Demographics

    Sex at Birth

    "patients date of birth"

    Services Requested

    What service/services is the patient being referred for? Check all that apply:

    Preferred Location

    Preferred location to be seen:

    PeoriaPhoenixTelehealth

    Military/First Responder Status

    Is the patient in the Military or First Responder
    This includes Therapists & 911 dispatchers, Active or Retired!

    YesNo