.jss419.inverted.gbi--901765578-22:before { opacity: 1; background-image: url(''https://www.datocms-assets.com/13812/1572291241-refer-hero-300.png?auto=compress%2Cformat&fm=jpg''); }

Refer a Patient

To book an appointment for a patient at your local Ideal Option clinic, call our referral hotline, start a live chat session, or complete the form below.

.gatsby-background-image-hkyntsa_depr:before { opacity: 1; background-image: url(''https://www.datocms-assets.com/13812/1570826867-paper-blue-bg.jpg?auto=compress%2Cformat&fm=jpg''); }

Patient Forms

Complete the new patient packet prior to starting treatment with us. The release of information (ROI) forms can be completed online via the links below and submitted as needed.

New Patient Packet Release of Information to Outside Provider Release of Information to Individual Release of Information to Insurance Provider

.jss596:before { opacity: 1; background-image: url(''https://www.datocms-assets.com/13812/1602698977-adobestock330388549.jpeg?auto=format''); }

Get Started

You're just one step away from starting or restarting your recovery journey with Ideal Option. We've helped thousands of people get their lives back. Let's make yours one of them.

Refer a Patient

Patient Forms

Get Started

You're just one step away from starting or restarting your recovery journey with Ideal Option. We've helped thousands of people get their lives back. Let's make yours one of them.

About us

For Patients

For Partners

Use Google Translate to view this website in another language.

Find a clinic near you