Refer a Patient - Brave Health

Refer a Patient

To refer a member to Brave, please fill out this secure form.

We’ll use the member’s information to outreach them, and your information to share progress updates.



Patient Information
Patient State:
Referrer Information

By Submitting this form, I understand that Brave is an outpatient virtual behavioral health provider. Brave can treat most mental health conditions, with the following exclusions:

Patients must be oriented to time and place and able to consent to their own treatment

  • Brave does not directly prescribe benzodiazepines or stimulants (but can coordinate with other prescribers who do)
  • Brave does not provide eating disorder treatment





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