Referrals

If you are a provider (PCP, Therapist, Treatment Program or Specialist), please send the below documents toour office: intake@psychiatricwellnesscenter.org or fax to 603-413-4840. For more complex cases please call our office. Please include:

1. last 3 notes or discharge summary

2. recent labs, current and past medications including medical

3. demographics with insurance and contact information

4. presenting problem

5. release form, preferred

6. best way to contact you to follow up