Psychiatric Consultation in Lakewood and Tacoma

Keyna sitting at a wooden desk with a computer keyboard and mouse, smiling, in an office setting with beige walls, a standing lamp, and a framed painting on the wall.

What You Might Be Experiencing

As a primary care or medical provider, you have limited time with patients. Their mental health needs can be complex. You might need help managing psychiatric symptoms, confirming diagnoses, or finding treatment options. That’s where I can assist.

I offer psychiatric input so your patients get care that matches their needs.

Who is this Service for?

  • Primary care and specialty providers seeking diagnostic clarification or treatment recommendations for patients with psychiatric concerns

  • Clinicians who prefer to maintain primary management but want expert input

  • Patients can request a one-time second opinion. This is available as a one-time psychiatric evaluation without ongoing medication management.

Book an Appointment

What To Expect

Grounded in my fellowship training in the collaborative care model of integrated care, I want to make psychiatric consultations smooth, quick, and helpful for you and your patient.

  • Use the [Referral Form – secure link] or send referrals via fax or secure email. After obtaining the patient’s consent, please include:

    • Patient demographic and clinical details

    • Reason for referral, including key questions you’d like addressed

    • Note whether you’re seeking a consult only or consult and treat

    • A release of information if you’d like two-way communication

    Once received, I typically reach out to the patient within 1–2 business days.

  • I will meet with your patient for a comprehensive assessment, diagnostic clarification, and discuss treatment recommendations. During the visit, I’ll obtain consent to release records back to you.

  • After the visit, you will receive a copy of the psychiatric evaluation with clear treatment recommendations.

    As indicated, I include: 

    • Medication treatment recommendations with flexible dosing

    • Clinical considerations (e.g., side effects, interactions, labs)

    • Referrals or next steps

Straightforward Psychiatric Care.

Keyna Graham-Heine, Psychiatric Nurse Practitioner in Lakewood, WA — In-person and statewide telehealth appointments available.

Book an Appointment

Patient Referral

Are you a healthcare provider who would like to refer a patient? Please complete a short referral form.

Refer a Patient