A first step toward support

Refer a patient.

Looking for support for yourself or referring someone to PathWell? Start here. We welcome inquiries from adults, families, clinicians, hospitals, and case managers.

Choose your starting point.

Start your referral

Adult mental health IOP · Manassas, Virginia

Start with the required details. Insurance card photos and extra context are optional; you can discuss them with our team later.

Fields marked * are required.

Referral details

Your information

Insurance and payment

Not sure? That’s okay. Our team can help check your options. Selecting coverage does not confirm acceptance or payment.

Add insurance or Medicaid card photos (optional)

You may attach the front, back, or both. JPG, PNG, or WebP, up to 15 MB per photo. Larger photos are automatically made smaller before sending. These photos are sent with your referral to PathWell’s referral inbox. You can also provide them later.

Contact and timing

Case manager or care coordinator (optional)
Separate case manager or care coordinator
Anything that would help you attend? (optional)

A brief note is enough. Please do not include Social Security numbers, payment information, or medical records.

A referral is a request for contact. It does not confirm admission or an appointment.

Need urgent help? This form is not monitored for emergencies. If someone is in immediate danger, call 911. For mental health crisis support, call or text 988.

What happens next

  1. Start the conversation

    Share the requested contact details, contact preferences, and permissions. Clinicians and discharge teams should choose the professional referral option.

  2. Connect with our team

    After a successful submission, keep your confirmation reference. Our team reviews the request and contacts you about next steps using the details provided.

  3. Find the right next step

    We discuss clinical assessment, program fit, availability, and payment or coverage before any appointment or admission is confirmed.

Questions, answered

Before you send a referral

Do I need a referral from a doctor or therapist?

You can contact PathWell to ask about getting started. Ask our team and your health plan whether a provider referral or other paperwork is needed for your situation. A clinical assessment is separate from a referral.

Can I contact PathWell for myself or someone else?

Adults 18 and older, family members and referring professionals can ask for program information or use the referral page. If you are contacting us for someone else, follow the form's consent instructions. Do not send patient records or insurance details by ordinary email.

What is an assessment, and what should I bring?

An assessment is a clinical conversation about your symptoms, daily life, treatment history and care needs. Prepare a medication list and questions you want to ask. Check with PathWell about requested documents and how to share them safely before your appointment.