Referral Forms

Please fax all referral forms to (661)231-3153.

Please note for Spravato referrals that a patient must of trialed at least two different antidepressants from two different classes for at least 6 weeks to qualify for Spravato with most insurances. We are unable to provide Spravato for patients with Tricare insurance at this time.

Spravato Referral Form

“You have survived everything you have been through, and you will survive this too. Stay for the person you will become. You are more than a bad day, or week, or month, or year, or even a decade. You are a future of multifarious possibility. You are another self at a point in future time looking back in gratitude that this lost and former you held on. Stay.”
― Matt Haig, The Comfort Book