Provider Referral Portal

Thank you for referring your client to The Practice MKE.

Please complete the form below and a member of our intake team will contact the client within 1–2 business days. This referral form is not monitored 24/7 and should not be used for emergencies or urgent psychiatric concerns. If the client is in immediate danger, call 911 or direct them to the nearest emergency room.

Need help?

Contact our intake team and we'll be happy to assist you with scheduling, paperwork, or insurance questions.