The Community Mental Health Provider database, as created by the C.A.P.E.S. Program for Primary Care Physicians, includes information regarding all of the services provided by each mental health professional that has linked with our program.

Please complete this form by selecting which categories pertain to your patient. We will narrow our referral information using the parameters that you select.

In return, we will send to you a list of mental health professionals that will include: the provider’s name, credential, agency affiliation, business address, and phone number.

  • Patient Information
Type of Treatment Modalities Requested:
Provider Specialty Services Requested: