For Clinicians

Refer a patient.

Physician-led psychiatric medication management by video for adults in Virginia and Florida. Original Medicare billed directly, or private pay with a superbill for possible insurance reimbursement. Accepting new patients.

Fax referrals to 434-404-4624

Secure fax, BAA in place. Include: patient name, date of birth, phone, Medicare card copy or MBI, reason for referral, current medications, and your practice's contact and fax.

Download the referral sheet (PDF) Refer online ↓

Prefer to talk it through? Call 434-623-0003 during business hours. We are not a crisis service; for a patient in crisis, call 911 or 988.

Good fits

Adults in Virginia and Florida with Original Medicare Part B. At this time we do not prescribe controlled substances for patients located in Florida.
Psychiatric medication management: depression, anxiety, trauma, sleep, ADHD
Mood and behavior changes with aging
Medication reviews

Not a fit for this line

Medicare Advantage, Medicaid or dual-eligible, commercial insurance
Patients under 18 or located outside Virginia and Florida
Patients in crisis

Private-pay services for non-Medicare patients in Virginia and Florida are described under Private-pay care.

What happens after you refer

We confirm coverage with the patient.
Video evaluation with Dr. Diaz.
A note back to you after every visit, with the patient's consent.

Or refer online

Complete the form below and we'll follow up within one business day. Prefer to fax? Send referrals to 434-404-4624. Download the referral sheet (PDF). Prefer to talk it through? Call (434) 623-0003 during business hours. We are not a crisis service; for a patient in crisis, call 911 or 988.

Referral received

Thank you for sending this referral. We'll follow up within one business day. If you need to reach us sooner, call or text (434) 623-0003.

Referring Clinician

First Name *

Last Name *

Credential / Role *

Practice / Organization

Email *

Phone

Patient Information

Patient First Name *

Patient Last Name *

Date of Birth *

Patient State *

Patient Coverage

Patient Phone

Patient Email

Referral Details

Primary Reason *

Services of Interest

Psychiatric evaluation Medication management

Clinical Notes / Context

Consent & Communication

Patient has consented to this referral and for Welmivia to contact them directly. * I would like Welmivia to contact me with updates (with patient consent).

We'll respond within one business day.