Specialized evaluation & treatment
Access psychiatry, IV ketamine, endocrinology, metabolic care, diagnostics and other Fountain services when they are relevant to your patient.
For providers & referral partners
Extend your patient's care. Keep the relationship.
Fountain provides physician-led evaluation, advanced diagnostics and specialized treatment for patients who may benefit from services outside your practice. We coordinate directly with you, keep you informed and return clear findings and recommendations.
The model
Add clinical capabilities without disrupting continuity.
You remain part of your patient's care. Fountain evaluates and treats within the scope of the referral, communicates what we find and coordinates next steps with you.
Defined scope. Clear reporting. Direct clinician access.
When to refer
When symptoms persist or the clinical picture becomes more complex
Some patients remain symptomatic despite thoughtful care. Others may need additional diagnostic evaluation, a specialist perspective or treatment that falls outside the scope of their current care team.
What you may be seeing
- Persistent or partial responseSymptoms continue despite appropriate treatment and engagement.
- Overlapping mental and physical health concernsMood, sleep, weight, hormonal changes, energy or other medical concerns complicate the picture.
- A need for deeper evaluationThe patient's history suggests that additional psychiatric, metabolic, hormonal or other medical assessment may be useful.
- A treatment you do not provideThe patient may benefit from IV ketamine or another specialized Fountain service.
What Fountain can add
- Psychiatric evaluation and medication management
- Hormonal and endocrine evaluation
- Weight and metabolic medicine
- IV ketamine therapy
- Targeted diagnostics and biomarker interpretation
- Other clinician-directed treatments where appropriate
Our role is to answer the referral question, treat within our scope and communicate what matters back to you.
Benefits of partnering with Fountain
More options for your patients, without losing continuity.
Clear clinical reporting
Receive a concise summary of findings, treatment decisions and next steps, with direct clinician coordination when useful.
A referral relationship that stays intact
We do not treat a referral as a handoff. We focus on the clinical question you provide and coordinate care with the clinicians already involved.
The process
How co-care works.
Clear scope and communication from the start.
You refer a patient
Send us the clinical question, concern or service you would like Fountain to address, along with records that may be useful.
We evaluate the clinical question
Our clinicians review the patient's history and current care, perform the appropriate evaluation and select testing only when it can help answer the question or change management.
We share findings and recommendations
You receive a concise clinical summary explaining what we found, what it means and what we recommend next.
We treat and coordinate
If treatment at Fountain is appropriate, we provide it and keep you informed about meaningful clinical changes, treatment response, and next steps.
Reporting & communication
You know what is happening with your patient.
Co-care works only when communication is timely, clinically useful and easy to absorb.
- After evaluationA concise clinical summary of findings, interpretation and recommendations.
- During treatmentUpdates when there are meaningful changes in treatment, response or clinical status.
- When coordination mattersDirect clinician-to-clinician communication when a decision overlaps with the care you provide.
- At transition pointsClear recommendations about which aspects of care Fountain will continue to manage and which return to the referring clinician.
Who we partner with
Built for clinicians caring for patients with complex medical needs.
How Fountain fits depends on your specialty and the role you already have in the patient's care.
Therapists & Psychologists
Your therapeutic relationship remains central. When persistent symptoms raise questions about medication, sleep, hormonal health, metabolism or other medical contributors, Fountain can evaluate and treat those concerns and share relevant findings with you.
Psychiatrists
If you already manage psychiatric treatment, Fountain can add services outside your practice, including IV ketamine, endocrinology, metabolic care, advanced diagnostics and other specialized treatments. We coordinate decisions that intersect with the medications and care you manage.
Primary Care Physicians
When a patient needs deeper evaluation in mental health, endocrinology, metabolic medicine, IV ketamine or related diagnostics, Fountain can address that defined clinical question and return a concise summary of findings and treatment.
OB-GYNs
Mood, sleep, sexual health and metabolic symptoms can overlap with perimenopause, menopause, postpartum changes and other reproductive transitions. Fountain can provide psychiatric, hormonal and metabolic evaluation and treatment alongside the reproductive care you provide.
Functional & Integrative Clinicians
If you already evaluate patients across multiple systems, Fountain can add psychiatry, IV ketamine, endocrinology and other physician-led services that may sit outside your practice, with direct coordination around shared patients.
Addiction & Recovery Centers
Your program remains central to the patient’s recovery. Fountain can extend that care with psychiatry, addiction medicine, medical evaluation, and multidisciplinary support as patients stabilize, transition, and move into longer-term recovery.
We also work with pain and physical-medicine specialists, fertility and reproductive-endocrinology practices, concierge physicians and longevity practices.
For referring clinicians
Questions about partnering with Fountain
My patient is engaged in therapy but still feels stuck. When should I consider a medical or psychiatric evaluation?
When a patient is participating in therapy but symptoms remain persistent, recur, or do not fully make sense within the psychological picture alone, another clinical perspective may be useful. Fountain can evaluate psychiatric treatment needs as well as relevant medical factors such as sleep, hormonal health, metabolism, medications, nutrition, and other contributors. The goal is not to replace therapy, but to determine whether another part of the clinical picture may need attention.
Can medical or hormonal issues contribute to depression, anxiety, fatigue, brain fog, or poor sleep?
They can sometimes contribute to or complicate these symptoms, although they are rarely the only factor. Depending on the patient, Fountain may consider sleep, thyroid and hormonal health, metabolic factors, nutritional status, medications, and other relevant medical issues alongside the psychiatric and psychological picture. Testing is selected based on the clinical question rather than performed indiscriminately.
What can I refer a patient to Fountain for?
A referral can be broad or focused on a specific clinical question. Fountain can provide psychiatric evaluation and medication management, IV ketamine, hormonal and endocrine evaluation, weight and metabolic medicine, targeted diagnostics, and other clinician-directed treatment when appropriate.
How do I refer a patient to Fountain?
You can refer a patient directly through the link below or email our Medical Coordinator at admin@fountainnyc.com. Tell us what is prompting the referral and any specific questions you would like our team to evaluate. We will help determine the most appropriate Fountain clinician or next step, coordinate directly with the patient, and keep you informed when appropriate and with the patient’s authorization.
Will Fountain take over my patient's care, or can we work together?
Fountain is built around co-care. The referring clinician can remain central to the patient's existing treatment while Fountain addresses the medical, psychiatric, or specialty question that prompted the referral. We coordinate around shared patients, communicate relevant findings, and clarify which parts of care Fountain will manage and which remain with the existing team.
What information and updates will I receive after I refer a patient?
With the patient's authorization, Fountain closes the loop. After evaluation, we can provide a concise summary of relevant findings, interpretation, treatment decisions, and recommendations. During treatment, we communicate meaningful changes in clinical status, response, or treatment when they matter to the care you continue to provide.
What does partnering with Fountain give my practice access to?
A Fountain referral relationship gives clinicians a single place to access a broader multidisciplinary team when a patient's needs extend beyond their own scope. Depending on the case, that can include psychiatry, addiction medicine, hormonal and metabolic care, IV ketamine, nutrition and fitness support, cognitive evaluation, and other specialized services. Just as importantly, clinicians have a team they can return to when another patient presents with a complex or overlapping clinical picture.
What if I’m not sure whether my patient is a good fit for Fountain?
You do not need to know exactly which Fountain service or clinician is appropriate before reaching out. If a patient’s progress has stalled, the clinical picture feels more complex, or you are wondering whether psychiatric, medical, hormonal, metabolic, sleep, cognitive, or other factors may be contributing, contact our team. We can review the situation at a high level, help determine whether a Fountain evaluation makes sense, and identify the most appropriate next step.
Looking for more answers?
Explore our full FAQ library for common questions about mental health, ketamine, weight management, hormones, sleep, nutrition, billing, and more.
Refer a patient
Start with one patient.
Refer someone who may benefit from a broader medical evaluation, specialist perspective or treatment you do not provide in-house. We'll clarify the referral question, coordinate the scope of care and report back.
Refer a Patient