Refer your patient or loved one to Wholesome Clinic. We are honored to collaborate with patients, families, and referring providers to support compassionate, coordinated care.
Thank you for trusting Wholesome Clinic with your referral. Our team provides patient-centered mental health and wellness care with a focus on access, collaboration, and continuity of care.
Please select the appropriate form below. Completed forms may be returned by fax or uploaded using the secure upload portal.
Use this form to refer a patient for mental health, wellness, or general Wholesome Clinic services.
Download Patient Referral FormUse this form when referring a patient for Spravato evaluation and treatment consideration.
Download Spravato Referral FormFax completed referral forms to:
(972) 905-9489
Upload completed referral documents through our online upload portal.
Accepted file types: PDF, JPG, PNG
Maximum file size: 10 MB
Need assistance with a referral?
Call Wholesome Clinic at (972) 905-9435