Refer a patient.

Help a child or adolescent take the next step toward support. Share your details, and our team will help guide the way.

For families, schools, clinicians, and community partners. Every referral begins with a conversation.

Online referral form* Required fields

01Parent or guardian permission

If referring a minor, was permission from their parent or guardian received?

Yes, permission receivedNot yet

Permission from the child’s parent or guardian must be obtained before submitting a referral to Atferd.

02Person making the referral

Tell us who you are and how our team can reach you.

First name *

Last name *

Referrer’s phone number *

Referrer’s email address *

Referring entity *

If you are the parent or guardian making this referral, enter “Self”.

Your contact details help us coordinate care. Read our privacy policy.

Available around the clock

Refer a patient over the phone.

Call anytime, day or night. Our AI voice agent can take your referral whenever it works for you.

We review your referral
Our team reviews the information you share.
We get in touch
We contact you to understand the patient's needs and discuss care options.
We coordinate the next step
Together, we identify the right path for the patient and their family.

Atferd/Patient referrals

A connection to care