For Providers

Refer a Patient

To refer a patient to Wellspring Therapy please fill out the following referral form and fax to (818) 637- 2126.

Referral Form

At Wellspring Therapy, we pride ourselves on providing excellent patient-centered care. Once a patient has been evaluated by our team, you should expect a comprehensive evaluation report submitted to your office within the week. When applicable, you can also expect regular updated progress reports.

If you have any additional questions about referring a patient to our facility, please don’t hesitate to call us at (818) 637-2127 or email We are always willing to meet with physicians to ensure quality patient care. Thank you for choosing Wellspring Therapy!