Provider Referral

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We’re here to partner with you

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Assessment Referral

We’re always accepting new patients via referral. Refer your patient or student to us for a formal ADHD Assessment by a licensed psychologist.

Treatment Referral

Complete a referral so your patient with an ADHD Online diagnosis can start or continue telemedicine treatment seamlessly. We’re always here to collaborate with you on the care of your patient.

Join Our ADHD Research Study

Mentavi Health is conducting ADHD research and is accepting a limited number of participants. Participants in our clinical study will get an ADHD Assessment at no cost. 

Who can join?
  • Age 19+
  • Primary language is English
  • Not previously diagnosed with ADHD
  • Not a current patient of ADHD Online or Mentavi Health
  • A resident of any of the 50 US states or DC (not including Puerto Rico or other territories)
 
Why participate?
Your involvement will help improve mental health care for everyone.
 

Provide this form to your local practitioner. You could:

  • Send this link
  • Email the pdf
  • Print it out and bring it to your appointment

Ask your practitioner
to complete the form

In this form, your practitioner will request that ADHD Online continue to provide uninterrupted care

Return the form to us

You or your practitioner can return this form to us via email or fax it to 616-210-3118