Online Referral Form

Our fax machine is currently down. To send us documents with your referral, please email them, encrypted, to our Access Team at access@compassh.org.

Step 2: 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 a face to face 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.

If you are making a referral into our Children’s Intensive Outpatient Treatment (WISe) program, do not complete the online referral form and, instead, please call (425) 349-8337.

  • 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

Translate »