Refer a patient

Refer a patient to Thryvwell

We contact the family within 3 business days and keep you updated every step of the way.

Patient Referral Form

Fields marked * are required. Kept strictly confidential.

Referring Physician
Patient Information
Parent or Guardian
Clinical Context

By submitting you confirm the patient's guardian has been informed and consents to Thryvwell contacting them.

Patient handout

Give this to families in the exam room. Includes a QR code linking directly to the booking page.