Easily Refer Your Patients to SonderMind

With SonderMind, our trained care coordinators connect your patients to licensed behavioral health providers for in-person or online mental health care.

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Check out the resources below:

Referral instructions

Faxable referral form

How to have a mental health conversation

Enhance your partnership with SonderMind

Clinical Questionnaires: PHQ-9 & GAD-7

Send your referral form in four easy, HIPAA-compliant ways:

1. By Phone: (888) 966-1665
2. By Fax: (844) 416-0584
3. By Email: [email protected]
4. Fill out our form below.

Referring Practice Name:

Referring Practice Phone:

Referring Provider Name:

Referring Provider Address:

Referring Provider City:

Referring Provider State:

Referring Provider Zip Code:

Patient First Name:

Patient Last Name:

Patient Email:

Patient Phone:

Patient Date of Birth:

Patient Address:

Patient City:

Patient State:

Patient Zip Code:

Patient Insurance Group #:

Patient Insurance Member ID:

Insurance Type:

Patient Presenting Concern:

Patient Services Requested:

‘is this referral for a client needing an urgent appointment? (i.e. non-routine)