We welcome collaborative referrals from family physicians, psychiatrists, pediatricians, and allied health professionals. Whether you are referring a patient for individual therapy, specialized therapeutic modalities, or diagnostic evaluation, our team works to ensure a supportive fit for your patient's needs.
How to Submit a Referral:
1. Download the Referral Form
Click the button below to access our fillable PDF request form.
2. Complete Clinical Details
Include presenting concerns, relevant diagnoses or medications,
current risk factors, and any specific clinician matching preferences.
3. Attach Supporting Documents
If applicable, attach relevant reports, assessments,
or medication lists reasonably necessary for the referral.
4. Submit via Confidential Fax
Fax the completed form and supporting documents directly
to our secure clinic line at (780) 752-7271.
