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Refer a Client

CLIENT REFERRAL FORM

CLIENT INFORMATION

PROVIDER INFORMATION

Thanks for your referral!

How to Refer a Client to
Abundance Therapy Center

1. Fill out this form

2. We will contact the client within a business day to schedule

3. Stay updated on treatment progress*

(contingent on client consent)

Coordination of Care

We are happy to coordinate care.

If you have a Release of Information signed by the client, please email us the release along with your request at erin@abundancetherapycenter.com

  • Provider's name and contact information

  • Diagnosis

  • Treatment progress

  • PHQ-9 and GAD-7 scores