Referral Process

For more information on the treatment:

The Treatment

FAQs

Referral Form

1

Complete Referral Form

Place a HIPAA compliant referral here if you have a patient aged 12-17 years old in California experiencing symptoms of ongoing abdominal pain or headaches.

Referral Form

2

Please arrange for documentation to be faxed to Streamind at 855-234-9106

Fax Relevant Records

Documentation should include:

Referring Provider’s Last Note:

At a minimum, we require the most recent note from the referring provider.

Relevant Medical Documentation

Any additional medical records that pertain to the reason for the referral or the presenting problem are highly valuable and will support the referral process.

Insurance Reimbursement

Please include any relevant insurance information, if possible.

3

Set Up Your Dotphrase

Looking for a dotphrase to accompany your referral?...

I recommend behavioral health treatment specifically designed to help @FNAME@ learn skills to manage @HIS@ [headaches, abdominal pain and/or GI discomfort]. I have referred @FNAME@ to Streamind Health, which is a short-term online therapy program for children aged 12-17 years-old with [abdominal pain or headache]. To learn more about Streamind and make an appointment, please call their intake coordinator at 707-666-3397. You can also visit their website at www.StreamindHealth.com.

We understand the problem our colleagues experience and the lack of adequate referral resources available to them. We are here to provide an accessible solution that improves your practice and your patient's outcomes.

General Pediatrician, CA

"The type of service we (as pediatricians) have always needed, but haven't had access to. Up until now, pediatric health psychology has been more of a theoretical textbook treatment option, but hopefully soon will be an accessible, valuable resource for patients and families that providers in the community can refer to."