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