Help Someone Take the First Step.

Refer a patient in seconds—just fill out our secure form. Our Access team will reach out within 24 hours by phone and text to schedule their appointment. You’ll get an update once they’re scheduled or if we couldn’t reach them. Thank you for thinking of us.

Name of Patient being referred

First Name

Last Name

Phone

(###)

###

####

Date of Birth

YYYY

Gender

Primary Language

City

State

Name of Referring Party

Referring Party's Organization

Referring Party's Phone Number

(###)

###

####

Referring Party's Email Address

Blueprint Telehealth provides online outpatient telepsychiatry and behavioral health care, currently serving Tennessee. If you are experiencing a mental health emergency, call or text the Suicide and Crisis Lifeline at 988 or dial 911 for immediate assistance.

Blueprint Telehealth does not provide crisis intervention, emergency services, inpatient care, detox, or Medication-Assisted Treatment (MAT). Services are not a substitute for in-person medical care in urgent situations.

For more information about our services, insurance coverage, and policies, please visit our Privacy Practices Policy, Telehealth Policy, and Refill Policy.

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