Refer a Patient
Thank you for considering Jauregui Psychiatry for your patient's care.
Your practice's existing referral forms, letters, and referral packets are welcome. Our referral form is optional and available below for your convenience.
Download Referral FormPlease include:
- Patient's full name, date of birth, and phone number.
- Parent or guardian contact information when applicable.
- Referring provider's name, practice, callback number, and return fax number.
- Reason for referral, requested services, and urgency.
- Relevant clinical notes, medication list, and insurance information, if available.
Jauregui Psychiatry participates with select commercial insurance plans. Coverage and network eligibility are verified before the patient's first appointment. Referring providers do not need to determine insurance eligibility before submitting a referral.
How referrals are handled.
Confirm transmission
Your fax system's successful transmission report indicates that the fax was transmitted. It does not confirm that our office has reviewed or accepted the referral.
Referral review and acknowledgment
After reviewing the referral, our office will acknowledge receipt using the referring office's provided fax number or by phone. We will request additional information if needed.
Patient outreach
For referrals appropriate for our services, we will contact the patient or appropriate guardian to discuss next steps, intake paperwork, payment options, and scheduling.
Scheduling update
We will provide the referring office with an appropriate status update, such as whether the patient has scheduled, declined, or could not be reached.
Sending a referral does not guarantee acceptance or an appointment. If you have not received acknowledgment, please call (737) 365-5207 to confirm receipt.
This referral channel is not monitored for emergencies. For an immediate emergency, call 911.