Refer a Patient to Modern Me Psychology, PC
For hospitals, physicians and other providers. All of our clinicians are currently accepting new clients, in person in Roselle and by telehealth.
Two ways to refer:
1. Online: complete the form below and attach a completed Release of Information (ROI).
2. By fax: send the referral and a completed ROI to (847) 565-4956.
Modern Me Psychology, PC cannot speak to others without a completed ROI.
Questions? Call (630) 358-9821 or email info@modernmepsychology.com.