Provider Referral | The Journey Therapy IOP

A collaborative pathway into specialized outpatient eating disorder care.

Clinical partner overview

Partnering with you in specialized recovery.

At The Journey Therapy, we view outpatient clinicians as essential, highly valued partners in long-term client healing. When you refer a client to our Intensive Outpatient Program (IOP), you are connecting them to a dedicated multidisciplinary team focused on clinical stabilization, therapeutic meal support, and skill-building—without interrupting the vital individual relationship you have established with them.

We actively honor therapeutic continuity. Our program is designed to provide the comprehensive support your client needs while respecting the foundation you have built together.

Continued individual therapy

Clients are encouraged to continue meeting with their primary individual therapist throughout their stay in our program.

Proactive communication

With client authorization, we provide clinical updates so our therapeutic goals align with your treatment plan.

Collaborative step-down planning

As your client meets their IOP stabilization goals, we work with you to support a smooth transition back into primary care.

Outpatient provider referral form

Tell us about your client and how we can collaborate.

This form is for professional treatment referrals and is not monitored for emergencies. Submit client information only when you are authorized to do so. If your organization requires another approved process, call 808-277-2273 or fax 888-310-2551.

1. Referring clinician information

Name and credentials

Practice or agency name

Direct phone

Email address

2. Client overview and clinical presentation

Client full name

Date of birth

Primary presenting behaviors or symptoms

Dietary restriction / caloric deficit Binging / compulsive overeating Compensatory purging behaviors Excessive / compulsive exercise ARFID / avoidant restrictive intake Co-occurring anxiety / mood symptoms

3. Continuity of care and collaboration

Will you continue individual therapy with this client during IOP?

Yes—I will maintain individual sessions while they attend IOP. No—I am requesting full clinical care transition during their program stay.

Preferred update frequency

Medical clearance status

Additional clinical notes, treatment focus areas, or collaborative goals

I confirm that I am authorized to share this information for treatment coordination and understand that this referral will be delivered by email to The Journey Therapy.

Reach out

Questions before referring?

Call Bethany to discuss fit, continuity of care, or the referral process.

Call 808-277-2273 Call 808-277-2273