Forms

If you are a referring professional, please use the referral form below and fax or email it to us using the information in the header.

If you are a current client and need a printable release of information form, please use the link below.

Note: New client forms are sent directly to the client electronically after completing the video consultation with one of our therapists.

For any other issues or questions, please contact our office at (980)533-0856 ext. 1