Current Partnerships
Patient Intake and Consent Form
Do you have a resident or loved one ready for referral?
Click the button below to complete our secure intake and consent form. Once received, a member of our team will be in touch shortly to discuss next steps.
Prospective Partnerships
Community Needs Assessment
Help us understand your community so we can identify where SparkWell can make the greatest impact.
Click the button below to complete a short assessment. It takes less than 5 minutes. Once received, a member of our team will be in touch to discuss next steps.
Send Referral Information
Have documents or information to share for a resident or loved one? Click the button below to securely submit supporting materials to our team. Examples include:
Insurance cards or coverage information
Prior psychiatric records or medication history
Schedule a Consultation
Not there yet but interested?
We'd love to connect. Learn what a mental partnership with SparkWell looks like in practice and whether it's the right fit for your community.