Referral Form for Healthcare Professionals

Partner with Orange County Neurofeedback Center to provide your patients with cutting-edge, non-invasive neurotherapy solutions. Our Healthcare Provider Referral Program makes it easy to connect individuals with personalized treatments for ADHD, anxiety, depression, PTSD, and more. Download our referral form today and take the first step toward helping your patients achieve lasting mental and neurological wellness.

Healthcare Provider Referrals for Neurotherapy Services

At Orange County Neurofeedback Center, we value our partnerships with healthcare professionals, including physicians, psychologists, therapists, chiropractors, and other medical providers. Our mission is to provide effective, non-invasive neurotherapy solutions that support your patients’ mental and neurological health through advanced treatments such as neurofeedback, qEEG brain mapping, biofeedback, and neuromodulation therapy.

We understand that every patient is unique, which is why we create personalized, evidence-based treatment plans tailored to their specific needs. Whether you are referring patients struggling with ADHD, anxiety, depression, PTSD, chronic stress, sleep disorders, or cognitive impairments, our team is here to collaborate with you to ensure the best possible care.

How to Refer a Patient

Referring a patient to Orange County Neurofeedback Center is simple. Our Healthcare Provider Referral Form streamlines the process, allowing us to gather essential patient information and coordinate care efficiently.

Follow these easy steps to refer your patient:

  1. Download the Referral Form – Click the button below to download the form.
  2. Complete the Form – Fill out the required details, including the patient’s condition, medical history, and any relevant treatment goals.
  3. Submit the Form – Send the completed form to the email listed on the form.

Once we receive the referral, our team will contact the patient to schedule an initial consultation and begin their personalized neurotherapy treatment plan.

Seamless Patient Referrals

Click below to download our Healthcare Provider Referral Form and begin the referral process. If you have any questions or would like to discuss a patient’s specific needs, please don’t hesitate to contact us. We look forward to working with you to improve your patients’ mental well-being and neurological health

Why Refer to Orange County Neurofeedback Center?

  • Comprehensive, Non-Invasive Care – We specialize in drug-free, cutting-edge neurotherapy techniques that help retrain brain function for lasting improvements.
  • Advanced Technology & Expertise – Our clinic utilizes qEEG brain mapping, neurofeedback, biofeedback, and neuromodulation to provide data-driven, customized treatments.
  • Collaborative Approach – We work closely with referring providers, offering updates on patient progress and integrating our treatments with existing care plans when necessary.
  • Patient-Centered Treatment Plans – Each patient receives an individualized care plan tailored to their neurological and mental health needs, ensuring optimal results.

Together, we can help patients achieve lasting mental clarity, emotional balance, and improved neurological function through cutting-edge neurotherapy.

Provider Referrals for Neurotherapy Services

Start Your Journey to Better Mental Health

Experience the Benefits of Neurotherapy Today.