Request Counseling Services or Submit a Referral
Many individuals connect with our practice through referrals from professionals, community organizations, and trusted networks. If you are seeking counseling services for yourself or referring someone for care, please complete the referral form below.
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Our practice provides counseling services designed to support emotional wellness, personal growth, and resilience through evidence-based and integrative therapeutic approaches.
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After submitting the form, a member of our team will review the information and follow up within 1–3 business days if the referral is appropriate for our services.
Emergency Disclaimer
Important Notice
This referral form is not intended for emergencies or urgent mental health situations. If you or someone you know is experiencing a mental health crisis or is in immediate danger, please contact:
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988 – Suicide & Crisis Lifeline
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Call 911
This form can be used by:
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Individuals seeking counseling services
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Family members helping someone connect with care
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Therapists or healthcare providers referring a client
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Community organizations or faith leaders making a referral
Service Areas
We provide counseling services through secure telehealth sessions. Clients must reside in a state where services can legally be provided. Services are currently available to clients located in:
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Georgia (Client can be seen in person in Loganville and Covington GA)
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Florida
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South Carolina
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Oregon
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Washington
What Happens After Submission
Once the referral form is submitted:
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The information will be reviewed by our practice.
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If appropriate, the individual will be contacted to discuss next steps.
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We will determine whether our services are a good fit and review scheduling options.
Submitting a referral form does not guarantee services, but it allows us to determine the best next step for care.