Online Referral Form

Compass Health serves Snohomish, Skagit, Island, San Juan, and Whatcom counties in Northwest Washington State.

Before completing this page, please read How to Access Services.

Complete the Referral Form

This document may be used to refer an individual to outpatient mental health services at Compass Health. You may also call us directly toll free at 844-822-7609 to provide this information over the phone.

Our access screeners will review the information below and follow up within one business day. At that time, the screener will assist the individual in determining which Compass Health location they will be referred to and how to access a mental health assessment.

All referrals start with an initial assessment by a mental health professional to determine eligibility for ongoing care. If eligible, additional services including individual, group, and family therapy, as well as a psychiatric evaluation and medication management, may be provided based on clinical need and a mutually agreed upon treatment plan.

Do not complete the below Online Referral form if:

  • You are making a referral for an individual in an Inpatient Mental Health Facility; instead, please call (425) 349-8200.
  • You have already contacted our Access Department and started your referral.
  • You are making a referral into our Children’s Intensive Outpatient Treatment (WISe) program; instead, please call (425) 349-8337.

Please refer to our Client Forms page if you need to complete your Pre-Assessment Paperwork as instructed by our Access Department.

  • Online Referral Form - For Self
  • Online Referral Form - Professional Referral Source
  • Online Referral Form - Other Referral Source

Online Referral Form - For Self

Online Referral Form - Professional Referral Source

Online Referral Form - Other Referral Source

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