For referring providers

Good care starts
with a connection.

Your patient. Our focus.
A thoughtful next step, together.

Connect your practice with the Center for Breath Treatment. We’ll help you coordinate personalized care for your patient, with a clear handoff from your team to ours.

Start a referral

Center for Breath TreatmentBerkeley, California

Patient referral request

Let’s make the connection.

Share a few details about your practice and the care you’re looking for.

Fields marked * are required.

Referral details

Referring office

How can we reach your team?

Referring provider

Provider role

Practice or office

Office city

Office email

Office phone

Office fax (optional)

Care request

Help us coordinate the right next step.

Area of care

Requested timing

Appointment status

Existing dental records

Patient handoff

Follow-up preference

A conversation, on your terms.

Preferred contact method

Phone callEmail

Best time to reach you

Patient details come later. Please do not enter patient names, dates of birth, contact information, clinical notes, or records here. We’ll coordinate their transfer through an approved secure channel with your office.

Good care startswith a connection.

Referring office

Care request

Follow-up preference

Good care starts
with a connection.