Emergency Psychiatrist to IOP Referral Form

Streamline Mental Health Crisis-to-Care Transitions with Paperform

When a psychiatric emergency resolves and a patient is ready for step-down care, the quality of your referral can make or break continuity of treatment. This Emergency Psychiatrist to Intensive Outpatient Program (IOP) Referral Form template is designed specifically for emergency psychiatrists, crisis intervention teams, and inpatient psychiatric units who need to provide detailed, structured handoffs to intensive outpatient providers.

Why This Template Matters for Mental Health Providers

Emergency psychiatric care is often the critical first intervention for patients in crisis—but the real recovery begins when they transition to sustained outpatient treatment. A comprehensive referral ensures that IOP clinicians have the psychiatric history, medication adjustments, substance use context, risk factors, and care plan details they need to provide seamless, evidence-based follow-up care.

This template captures everything from presenting crisis symptoms and risk assessment to concurrent substance use disorders, current medications (including recent adjustments), and recommended step-down protocols. It's built for the real-world complexity of dual-diagnosis cases, poly-pharmacy considerations, and the need for rapid but thorough communication between emergency and outpatient settings.

What Makes This Referral Form Different

Unlike generic medical referral forms, this template is purpose-built for psychiatric crisis stabilization and IOP transition. It includes:

• Crisis presentation and intervention summary: Document the nature of the psychiatric emergency, interventions provided, and current stabilization status
• Risk assessment and safety planning: Capture suicide risk, self-harm history, violence risk, and safety measures in place
• Substance use comorbidity screening: Identify co-occurring substance use disorders, withdrawal risk, and integrated treatment needs
• Comprehensive medication reconciliation: List current psychiatric medications, recent adjustments, efficacy, side effects, and prescribing recommendations
• Diagnostic clarity: Provide working diagnoses, differential considerations, and any pending lab or assessment results
• Step-down care planning: Outline recommended IOP intensity, frequency, therapeutic modalities, and follow-up psychiatry needs
• Social determinants and barriers: Flag housing instability, insurance gaps, transportation issues, or other obstacles to IOP engagement

The form uses conditional logic to adapt based on the complexity of the case—so if substance use comorbidity is present, additional screening fields appear; if medication changes were made in the ED or inpatient unit, detailed adjustment fields become visible.

Built for Psychiatrists, Emergency Departments, and Crisis Teams

This template is ideal for:

• Emergency psychiatrists transitioning patients from ED psychiatric evaluation to outpatient care
• Inpatient psychiatric units coordinating discharge and step-down referrals to IOP or partial hospitalization programs
• Crisis stabilization units ensuring warm handoffs to community-based mental health providers
• Mobile crisis teams documenting field assessments and linking patients to ongoing treatment
• Integrated behavioral health teams in hospitals managing psychiatric comorbidities alongside medical care

Because Paperform forms can be embedded directly into EHR workflows, sent via secure link, or accessed on mobile devices in the field, this referral form fits into your existing clinical documentation processes without adding friction.

Automate Your Referral Workflow with Stepper

Once a referral is submitted, Stepper (Paperform's AI-native workflow automation tool at stepper.io) can take over the coordination:

• Automatically route urgent referrals to on-call IOP intake coordinators via SMS or email
• Create a new patient record in your outpatient EHR or care management platform
• Send a copy of the referral to the patient's primary care provider and insurance case manager
• Trigger follow-up reminders if the IOP appointment isn't scheduled within 48 hours
• Log referrals in a central database for quality improvement and continuity tracking

Stepper keeps the entire care transition on track, reducing the risk of patients falling through the cracks during the vulnerable period between crisis stabilization and outpatient engagement.

Why Mental Health Teams Choose Paperform

Mental health providers—from solo practitioners to large health systems—rely on Paperform because it's secure, flexible, and designed for real clinical workflows:

• SOC 2 Type II compliance ensures that sensitive psychiatric and substance use information is handled with enterprise-grade security
• Conditional logic tailors the form to the patient's clinical complexity, avoiding unnecessary fields while capturing critical details
• Mobile-friendly design means referrals can be completed at the bedside, in the ED, or during a crisis intervention
• Integration with care coordination tools like Slack, Airtable, Google Sheets, and EHR systems via Stepper, Zapier, or webhooks
• Custom branding allows hospital systems and mental health agencies to present a cohesive, professional experience across all touchpoints

Over 500,000 teams worldwide trust Paperform for intake, referrals, assessments, and patient engagement—and our platform is trusted by healthcare organizations that need GDPR and SOC 2 compliance without the complexity of traditional healthcare IT solutions. Please note: Paperform is not a HIPAA-compliant solution. Consult your organization's compliance team to determine if Paperform meets your regulatory requirements.

Get Started in Minutes

This template is ready to use out of the box—just customize the provider contact fields, adjust diagnostic categories to match your region's coding standards, and add your organization's branding. You can start on Paperform's free plan to test the referral workflow, then scale up to Pro or Agency+ as your team grows and referral volume increases.

Whether you're coordinating care for a single patient in crisis or managing hundreds of referrals across a health system, this template gives you the structure and flexibility to ensure every patient gets the step-down care they need, when they need it.

Start building better psychiatric referral workflows today with Paperform—because continuity of care shouldn't depend on luck.