Skip to main content
Skip to footer
Locations
Services
Emergency Psychiatric
Adult Mental Health
Children, Youth & Family
Primary Care
Substance Use
Justice & Outreach
About
About Us
Our Leadership Team
Contact Us
Careers
Blog
Make a Referral
Locations
Services
Emergency Psychiatric
Adult Mental Health
Children, Youth & Family
Primary Care
Substance Use
Justice & Outreach
About
About Us
Our Leadership Team
Contact Us
Careers
Blog
Make a Referral
Access Services
Consumer Portal
Locations
Services
Emergency Psychiatric
Adult Mental Health
Children, Youth & Family
Primary Care
Substance Use
Justice & Outreach
About
About Us
Our Leadership Team
Contact Us
Careers
Blog
Make a Referral
Access Services
Consumer Portal
The Latest from MHC
August 1, 2025 •
Emergency Mental Health
Mobile Crisis Response Teams Transform Mental Health Emergency Care
August 1, 2025 •
Emergency Mental Health
Crisis Mental Health Services: Finding Help When You Need It Most
July 30, 2025 •
Mental Health Tips
Emergency Psychiatric Services in Tennessee: What You Need to Know
July 21, 2025 •
Community Impact
Expanding Access: How MHC Is Reaching Rural Tennessee Communities
July 21, 2025 •
Whole-Person Care
What Is Whole-Person Mental Health Care — and Why Does It Matter?
July 21, 2025 •
For Referrers
A Quick Guide to Referring Clients to MHC Services
Take the First Step
"
*
" indicates required fields
First Name
*
Last Name
*
Email
*
Phone
*
Do you have insurance? If so, what kind?
*
Date of Birth
*
MM slash DD slash YYYY
Do you need an interpreter? If so, what language?
*
Please provide any additional information, including present issues or symptoms
*
Fill out the form to make a referral
"
*
" indicates required fields
Step 1.
Who is making this referral?
*
Friend or Family Member
School or University Staff
Community Partner or Agency
Medical Provider
Are you referring a Child or Adult?
*
Child
Adult
Your First Name
*
Your Last Name
*
Your Email
*
Your Phone
*
Step 2.
Parent/Guardian's Full Name
*
Parent/Guardian's Phone Number
*
Has parent/guardian been notified MHC will contact them?
*
Yes
No
Step 2.
Your Relationship to Client
*
Individual's First Name
*
Individual's Last Name
*
Individual's Phone Number
*
Individual's Email
Individual's Date of Birth
MM slash DD slash YYYY
Step 3.
Your Organization's Name
*
Organization's Phone
*
Last step
If client has insurance, please indicate what kind.
*
If client needs an interpreter, please specify what language.
Please provide any additional information, including present issues or symptoms
English
French
German
Arabic
Chinese (Hong Kong)
Chinese (China)
Spanish
English
