It will be helpful to us if you could respond to the linked brief questionnaire. Please fill out all required fields then, click “Submit” and your confidential form will be submitted. 

  • A volunteer clinician from the BPSI referral service will be in touch within seven to ten days
  • If we are not able to provide you with a referral to a clinician in response to your request, we will recommend that you seek a referral from your primary care physician or local mental health center.  

Click here to learn more about the Referral Service.

Continue to:
Find an Analyst or Therapist
Referral Request Form
Frequently Asked Questions