Three steps to refer a patient
Refer a patient to Majestic Healthcare Services quickly and securely. Fill out our Psychiatric Referral Form and send it directly to our care team — we’ll follow up to schedule an evaluation.
Download the form
Get the fillable PDF below — no printer required.
Fill in patient & clinical info
Contact details, insurance, presenting concern, and current medications.
Fax or email it back
Send the completed form to our intake team using the details below.
Requesting A Call
609-255-7985
Fax Number
848-800-6826
Email Address
info@majestichealthcareservices.com