B2B Physician Referral Portal

Submit a Secure Physician Referral

Doctor Name

Practice Name

NPI Number

Phone

Contact Email

Patient Initials

Date of Birth

Primary Diagnosis

Current Antidepressant Medications

Clinical Notes

Clinical Notes Attachment (PDF / DOCX)

Drag & drop a file here, or click to browse Encrypted ingestion in production · demo does not upload

Request weekly treatment progress reports from Dr. Zuch & Dr. Lim

Live Referral Tracker — Provider View

Patient J.D.In Protocol

Protocol: Session 12 of 36 · Deep TMS dTMS · Referral accepted 2026-08-14

PHQ-9 reduced from 21 → 11 · GAD-7 reduced from 15 → 9

Patient M.R.Pre-Authorization

Insurance verification in progress · Horizon BCBS NJ · CPT 90868 × 36

Baseline PHQ-9: 23 · first mapping appointment pending

Patient A.K.Consultation Scheduled

Referred 2026-10-19 · intake packet auto-synced to Osmind

Weekly progress reports enabled

$57,600

Annual revenue from just 2 referring doctors sending 1 patient per quarter — a compounding physician referral pipeline.