Sometimes, the client we match you with may not be a good fit for you as the provider. At other times, you may want to make a referral for the client to access additional services outside of therapy. You may use Rula's Provider Referral Form to make a referral or request another therapist be matched with your client.
When to use the form
Therapists should use this form to request:
- A rematch
- Additional therapy services
- Additional psychiatric services
- Higher level of care services
About rematches
If you feel you cannot effectively treat the client you have been matched with, you can request a rematch by completing this form. Submitting a rematch request allows us to find a more suitable match for the client while allowing you to be paired with someone you feel better equipped to provide care. We want to ensure our providers are comfortable and capable of treating each client. Discontinue seeing a patient and refer them to a different therapist for the same service type. The patient will be notified that you requested a Rematch with a scheduling link to choose a new provider.
Guided Steps
To request a client rematch:
-
- Click the Provider Referral Form.
- Select rematch in the issue field drop-down.
- Select a reason from the available options.
- Our Support team will follow up with the client within one business day and process your request.
Adding a Service
Refer a patient to add a new service type
- Individual Therapy
- Couples Therapy
- Family Therapy
All of these therapy types are available at Rula.
Psychiatry Scheduling
Therapists may refer clients ages 13 and older to add Psychiatric Services at Rula in states where are are accepting patients in addition to continuing therapy with you.
Higher Level Of Care
Select this option when you need to request IOP, PHP, group therapy, or psychological testing for a Rula client. HLOC only refers to outside services that Rula does not currently provide.
Rula does not process HLOC requests for inpatient, emergency, or crisis services. Please follow the crisis plan for your practice for these situations.
Patient information needed
When filling out the form, you will need to input key details about your client including their:
- first and last name
- chart number
- state
- birthdate
Note: the client or parent/guardian for minors and children must agree to the referral in order to move forward. You will need to indicate that you've received their consent by selecting Yes or No.
Where to find the form
The Care Coordination Request Form is available in the Rula provider portal under the Documents and Forms tab in the Resources tab.