For referring clinicians
Patient referral form
Complete the form below, then print or save it as a PDF. Send it by fax to 253-375-1292 or email to info@caringmindsllc.net. The website does not receive or store the information you enter.
Virtual care in Washington. We see adolescents and adults for psychiatric evaluation and treatment. Please call 253-271-0839 with questions. Do not use this form for an emergency or crisis referral.