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LifeStance Integrated Behavioral Healthcare

LifeStance Integrated Behavioral Healthcare

Welcome. We’re glad you’re here.

  1. Complete the Confidential Referral Form below

    • This form will initiate a Welcome Visit call from a Behavioral Care Coordinator (If this step was already completed by your referring provider skip to step 2).

  2. Welcome Visit

    • A Welcome Visit is always facilitated by phone using the phone number listed on your referral form.

    • The purpose of this administrative call is to gather additional information and schedule the first Behavioral Healthcare Visit.

  3. Behavioral Healthcare Visit

    • The Patient will meet with a LifeStance Behavioral Healthcare Provider for a virtual visit. Together they will make a plan to reach the agreed upon treatment goals.

Confidential Referral/Intake Form

Please complete this form in its entirety to send a secure referral to LifeStance Health's Intake Department. We will contact the patient directly to help them schedule an appointment with a psychiatrist or therapist.

Patient Information

Services Needed (select all that apply)(Required)
Max. file size: 300 MB.

Please include your practice information below.

Practice/Clinic Address