Refer a patient

Hand off a patient, quietly.

One encrypted intake for hospital teams, therapists, primary care offices, schools, and community partners. Tell us who the patient is, what they need, and what you've already tried — we'll take it from there.

Turnaround: A real person replies the next business day
Who we see: Patients 13 and older across Illinois by telehealth · in-person in Oak Park
Prefer to talk: (708) 948-7039 · docs@sanevihs.com

For patients aged 13–17

A parent or guardian is typically involved in scheduling, insurance, and the first visit. Please confirm that the patient and guardian have been informed of this referral and can participate in the intake process.

Privacy note

Referral documents are stored only long enough for our team to receive them via secure email, then deleted automatically after 7 days. They are never visible to the public or kept in the website database.

Referring provider

Your name *

Role / title

Organization

Phone *

Email *

Patient

Patient name *

Date of birth *

Phone

Insurance

City / ZIP in Illinois

Referral details

Reason for referral *

Urgency *

Clinical summary *

Attach documents

Discharge summary, prior records, med list, screening notes. Up to 5 files. PDF, DOC, or image. 10 MB per file.

I confirm that I am authorized to make this referral and that I hold a valid, current written consent or authorization from the patient (or the patient's parent or legal guardian, for patients ages 13–17) permitting disclosure of the information above to Sanevi Health Solutions, as required by HIPAA and the Illinois Mental Health and Developmental Disabilities Confidentiality Act (740 ILCS 110). I understand that information disclosed to Sanevi may not be redisclosed without further written consent, and that uploaded documents are stored in encrypted storage and automatically deleted after 7 days.