Referrals

Private Therapy

Please call our main number and speak to the receptionist about your specific needs and insurance. If you have a specific therapist you would like to work with, please give this information to the receptionist. Each therapist has different areas of expertise and our receptionist will be happy to match you to an appropriate provider. Please fill out the following form and mail, email, fax, or deliver in person prior to your first appointment. You can email the receptionist at This email address is being protected from spambots. You need JavaScript enabled to view it. .

Download INITIAL INTAKE FORM FOR ADULT CLIENTS

Download INITIAL INTAKE FORM FOR MINOR CLIENTS

Department of Corrections Referral

Please call and ask for the program coordinator or email at This email address is being protected from spambots. You need JavaScript enabled to view it. . She/he will be happy to take your information over the phone to set up an appointment. Please have the following information ready: Name, Phone, DC#, Supervising Officer, Program Type, Funding Status. Our office will need the following documents prior to the client's first appointment: court documents, probation orders, referral form, and police/sheriff report.

Psychological or Psychosexual Evaluation Referral

Please call and ask for the program coordinator or email at This email address is being protected from spambots. You need JavaScript enabled to view it. . She/he will be happy to take your information over the phone to set up an appointment. We will need documents prior to setting the appointment. These may include: DCF abuse records, court orders and/or reviews, predisposition report/study, victim statement/s, CPT medical report, case plan and updates, previous treatment reports/summaries, medical records, police/sheriff reports, any past mental health related evaluations/assessments.

Substance Abuse Program Referral

Please call and ask for the program coordinator or email at This email address is being protected from spambots. You need JavaScript enabled to view it. . She/he will be happy to take your information over the phone to set up an appointment. Please have the following information ready: Name, Phone, DC#, Supervising Officer, Program Type, Funding Status. Our office will need the following documents prior to the client's first appointment: court documents, probation orders, referral form, and police/sheriff report.

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