Referral Hub

For doctors, therapists, and school partners to securely refer clients to Heritage Wellness. Download the PDF or submit online—whichever works best for your workflow.

What We Treat

Trauma‑informed, holistic psychiatry and therapy for:

  • Anxiety, depression, PTSD, ADHD
  • Stress & burnout; grief & loss
  • Family, relationship, school/work challenges
  • Culturally sensitive & faith‑aligned care
Insurance & Fees

We accept select insurance plans and offer transparent self‑pay options. Our intake team confirms coverage with the client before scheduling.

Upload insurance details if available; not required to submit a referral.
Downloadable Referral Form (PDF)

Prefer paper or your own EHR workflow? Download the PDF and submit via secure upload, encrypted email, or fax.

Need Help?

Questions about referrals, coverage, or clinical fit? Our intake team can help.

Refer a Client Online

Submit the secure web form below. Required fields are marked with *

REFERRING PROVIDER INFORMATION
CLIENT INFORMATION
CURRENT CARE / SUPPORT
INSURANCE INFORMATION (if available)

Heritage Wellness accepts select insurance plans and offers self-pay options with transparent rates. A member of our intake team will contact the client directly to confirm coverage and next steps.

URGENCY & PREFERRED CONTACT METHOD
AUTHORIZATION TO SHARE INFORMATION