Refer your patients to Prairie Health. Our experienced staff includes board-certified psychiatrists with same-week availability.
Fill out the below online form or download and complete this faxable form.
We will reach out to your patient within 1 business day to get them scheduled.
We will keep you updated as treatment progresses. *
We will send you an update after each appointment or at your preferred cadence. *
Provider’s name and contact information.
Side effects expected or experienced
Pharmacogenomics report (if relevant)
PHQ-9 and GAD-7 scores
If you’re in emotional distress, text HOME to connect with a counselor immediately.
If you’re having a medical or mental health emergency, call 911 or go to your local ER.