Healthcare Providers

Referral Form (Fillable PDF)

Refer Your Patients for Evidence-Based Psychotherapy & CBT-I

As a medical provider, you often see the physical and compounding toll of untreated mental health and sleep disorders. Restoration Psychotherapy serves as a trusted clinical referral partner for your Indiana telehealth patients who need structured, results-driven therapeutic care.

Our Clinical Focus Areas:

  • Chronic Insomnia (CBT-I): The gold-standard, first-line treatment for chronic sleep issues. We help patients retrain their sleep systems, offering a highly effective, non-pharmacological alternative (or complementary approach) to sleep medication.

  • Trauma & Stressor-Related Disorders: Utilizing elements of EMDR and Internal Family Systems (IFS) to process trauma safely and effectively.

  • Anxiety & Depression: Blending Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) skills to provide patients with immediate, actionable coping mechanisms alongside deeper processing.

Why Partner With Us?

  • Evidence-Based: We do not offer open-ended venting; we utilize targeted, scientifically backed modalities.

  • Collaborative Care: With patient consent, we maintain open communication with your office to ensure continuity of care.

  • Streamlined Referrals: Our intake process is simple and responsive. Complete our Referral Form (linked above) and Fax to: (317) 206-7188. We will reach out to the patient in 24-48 business hours to complete a free consultation.

The Sleep Access Project

Referral Form (Fillable PDF)
A young woman sleeping peacefully in a bed with white pillows and a blue blanket.

To submit a candidate, download and complete our Referral Form, indicate “Sleep Access Project”, and fax to (317) 206-7188.

Bridging the Gap in Behavioral Sleep Care

The Sleep Access Project is a physician-referred initiative providing a fully sponsored, complimentary 6-week Cognitive Behavioral Therapy for Insomnia (CBT-I) protocol. Delivered via telehealth, this program is designed specifically for Indiana residents who would benefit from gold-standard, non-pharmacologic insomnia treatment but face financial barriers to care.

Program Highlights

  • The Offering: A complete, 6-week evidence-based CBT-I protocol delivered via telehealth at $0 cost to the patient.

  • Highly Exclusive Capacity: To ensure focused, quality care, only two patients are selected every 6 weeks (16 patients annually).

  • Target Demographic: Motivated patients with chronic insomnia who demonstrate significant financial hardship (e.g., SNAP, SSI/SSDI, or below 200% FPL).

  • Provider Collaboration: We support your treatment plan by providing progress updates and completion summaries for your records.

  • Next Group Begins: October 5, 2026 (7:00 PM EST)

Curious if your patient is a clinical fit for the next cohort? We actively screen for clinical appropriateness (e.g., ruling out untreated sleep apnea or severe psychiatric instability) before enrollment.

Schedule a Provider Consultation

  • "Several of my patients have successfully reduced or discontinued sleep medications following treatment. The regular progress summaries make this an easy and reliable referral."

    — MD

  • "Patients referred for CBT-I show meaningful improvements in overall sleep functioning. The outcome reporting provides clear evidence of progress."

    — MD

  • "I receive clinically relevant updates on my patients’ progress, including objective sleep metrics and adherence. The communication is efficient and allows me to stay informed without additional burden."

    — DO

Get In Touch

If you're interested in more information about working with us, let’s connect! Simply complete the form. We'll review your message and get back to you within 24 - 48 business hours.