Refer a Client to BHSVA

Behavioral Health Services of Virginia partners with you to support our shared community with quality mental health care. Submit a referral in two minutes.

Accepting Medicaid, Insurance & Uninsured Children • Teens • Adults Accredited by The Joint Commission

Our Sole-Service Guarantee: we collaborate, never compete — you keep your client. We simply provide the specialized care and keep you updated.

Submit this form

Share the client's basic info and what they need.

We reach out fast

Our Client Services team contacts the client to get them scheduled.

You get an update

We close the loop so you know what happened.

Referral Form

Takes about a minute — we'll gather the rest when we reach the client. Fields marked * are required.

Your Information

Your Name *

Organization *

Your Phone *

Your Email

Referral

Client Name *

Client Phone *

Insurance *

Urgency *

Service Needed *

Main Concern

Consent

Please confirm consent to submit the referral.

Not a secure channel for emergencies. If a client is in immediate danger, call or text 988 or call 911. Questions? Call BHSVA at 804-977-1365.

✓

Referral received — thank you.

Our Client Services team will reach out to the client shortly and follow up with you. If it's urgent, please also call us at 804-977-1365.