PHYSICIAN REFERRAL FORM

We Are Here.

If you are a physician wanting the best in cognitive and behavioral therapy for your patients, download our referral form and fax it to us today.

Once we receive this information, we will contact your patient and schedule an appointment.

We take the following insurances, as well as self-pay:  Medicaid, Select Health by First Choice, Molina, Healthy Blue, and Cenpatico by Absolute Total Care.

Feel free to contact us with any questions:

(843) 501-7001