If you’d like to refer a client for holistic psychiatric care at Peaceful Pond Psychiatry, please complete the secure form. We provide virtual medication management and integrative mental health support for individuals seeking care beyond prescriptions—addressing root causes through nutrition, lifestyle, and compassionate psychiatric care.

We accept most major insurances and offer sliding scale options for those in need.

Services we offer include:

Psychiatric evaluations & medication management
Holistic and trauma-informed care
Treatment for anxiety, depression, OCD, and mood disorders
Support for women’s mental health
Optional Christian counseling if welcomed by the client

📩 Referring providers will be contacted with confirmation of intake and ongoing collaboration (if permitted by the client).

⚠️ Please Note:
Peaceful Pond Psychiatry does not prescribe controlled substances, including stimulants, benzodiazepines, or other Schedule II–IV medications. We focus on non-controlled treatment options and integrative strategies to support long-term wellness.

Please ensure the referred client is aware of and agrees to this referral.

Provider Name *

First and Last Name and Credentials

Practice Email *

Practice Name *

Practice Phone Number *

Client Information *

First and Last Name

Date of Birth *

Client Phone Number *

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