Refer a patient for virtual mental health care —with appointments available in 48 hours or less
- Precision psychiatry
- Support for mood and anxiety disorders
Refer a patient
How it works
- Select the patient’s state
Currently servicing patients in NY, NJ and FL.
- Complete your referral
Enter the patient and provider information in this simple form. If you would prefer to fax us a referral, you can download this form and fax it to us directly.
- Patient receives a text message
We’ll send the patient a text with a unique activation link to get started.
- Provider receives ongoing updates
We’ll send the provider treatment updates.* If you’d like to have your patient complete our HIPAA consent to release medical information in advance to get this set up, please ask your patient to complete this form.
*Subject to patient consent
As a courtesy to the patient and ReKlameHealth, we cordially ask that you obtain the patient’s verbal or written consent for this referral prior to submission.
Who & what we treat
ReKlame Health is available to people 18 years and older.
Mental health conditions we treat:
- Generalized anxiety disorder
- Major depressive disorder
- Panic disorder
- Social anxiety disorder
- Obsessive-compulsive disorder (OCD)
- Post-traumatic stress disorder (PTSD)
- Seasonal affective disorder (SAD)
- Postpartum depression
- Premenstrual dysphoric disorder (PMDD)
- Bipolar disorder
By submitting this referral, you are formally acknowledging that the information provided herein is, to the best of your knowledge, entirely accurate. Furthermore, you are representing yourself as a healthcare provider or representative of a healthcare entity legally authorized to treat the aforementioned patient, and that dissemination of any patient health information from ReKlame Health, Inc. to you or the entity you represent is being requested for the sole purpose of rendering future care to the referred patient.
If you’re in emotional distress, text HOME to connect with a counsellor immediately.
If you’re having a medical or mental health emergency, call 911 or go to your local ER.