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Family Self Referral

Step-By-Step Patient Self-Referrals

Referral Form

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Before Placing a Referral

  • We currently only serve families located in California.

  • Streamind provides health-focused interventions. To ensure coordinated and effective care, we work in close collaboration with your child’s medical team.

  • If your child’s medical provider or school nurse has already completed a referral form, there is no need to submit an additional form.

Here are a few important things to know:

Referral Form

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Complete Referral Form

Place a HIPAA compliant referral here if you are living in California and your child is experiencing symptoms of ongoing abdominal pain/IBSheadaches, or other health-related concerns. Once received, we will follow-up with you to discuss next steps.

Call 

707-666-3397

Email 

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Best, Drs. Barry, Ross, & Moss

© 2024 by STREAMIND.

(e) Info@streamindhealth.com (p) 707-666-3397

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