Referrals

Please complete the PERSONAL REFERRAL FORM if you are seeking counseling services for yourself or someone under your care.

If you are a healthcare provider or referring on their behalf, please complete the PROFESSIONAL REFERRAL FORM. 

We are dedicated to protecting our clients' privacy. Information submitted on this form is confidential, encrypted, and secure.

Due to the high demand for mental health services, we currently have a 3-4 month wait for new clients. We are working hard to meet the needs of our community and consider it an honor to do so.

Clients and referring providers will be contacted by one of our care coordinators when an opening becomes available. If you have questions, please CLICK HERE to e-mail Amy Stewart.