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Direct Referral - Mental Health Counseling
If you have a direct referral, please work with the Prospect to choose a time/location first, then complete the form. This applies to: Referrals from providers from another practice, a Prospect that contacts you directly, via email, phone, healthprofs.com, etc., or a former client resuming treatment.

Choose Direct Referral as the Early Inquiry Method and Mental Health Counseling as the service.
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