Referral Forms
282 Templates
Psychiatric Referral Form
A psychiatric referral form is a document used by mental health practitioners to determine the next step to take with a potential patient. Whether you’re a therapist, psychiatrist, or counselor, build a secure online psychiatric referral form to collect intake details from your patients!
Simply customize the form to fit how you want to collect information — then embed it anywhere you want on your website to start receiving referrals. You can even use the Jotform Mobile Forms app to collect data straight from your patient — wherever you are. If patients are filling out your form on a tablet or computer, you can turn the image of their signature into a PDF in one click and send it directly to their inbox.