We appreciate your trust in referring individuals to MindRestorative for mental health services. Our team is committed to providing compassionate, evidence-based care and timely coordination with referring providers.
Please complete the referral form below to share information about an individual who may benefit from our services. Once received, our team will review the referral and follow up as appropriate.
Typical response time:
We aim to review and respond to referrals within 1–2 business days.
Urgent Referrals
We accept urgent referrals and will prioritize review and outreach when appropriate.
Urgent referrals are not the same as emergencies, and MindRestorative is not an emergency or crisis service.
Business Hours:
Monday – Friday
9:00 AM – 5:00 PM (Central Time)
Urgent referrals submitted through this form are routed to our front desk for priority handling during business hours.
Emergency Notice
If there is immediate risk or a mental health emergency, please do not use this referral form.
Call 911, go to the nearest emergency department, or contact the 988 Suicide & Crisis Lifeline (call or text 988) for immediate assistance.
Online forms and emails are not monitored outside business hours.
Referral Form
Please complete the referral form below. Our team will review the information and contact the appropriate party within 1–2 business days.
We appreciate your partnership in supporting individuals seeking mental health care.