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Patient Referral Form

At Mile High Psychiatry, we strive to provide ease in gaining mental health access for our clients. If you have a patient that you would like to refer to our practice, please download and complete our Patient Referral Form. We ask that after completion, you please email the form along with any supporting documents to our team of Care Coordinators at If your patient is in need of immediate assistance they may call us at 720-507-4779 to speak to our Care Coordinators.

What to expect for your referred clients:

After we have received a referral, our team of Care Coordinators will reach out to the patient directly to offer assistance, answer any questions they may have, as well as schedule an intake appointment for the appropriate level of care! If we are unable to reach the patient on the first attempt, don’t worry, we will continue with multiple points of contact in hopes of reaching them.

Our exclusively virtual tele-heath providers are here to support and care for our patients. We are thrilled to offer a flexible Tele-Psychiatry program that is simple and accessible.

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