Provider Referrals
Thank you for partnering to support the well-being of your patients and clients.
This referral form is designed for medical providers, mental health providers, pediatric practices, school counselors, and allied professionals who wish to refer individuals for counseling services at The Counseling Haven.
I specialize in:
trauma & emotional regulation (PTSD & complex)
Behavioral Challenges
anger outbursts & emotional dysregulation
anxiety, panic & intrusive thoughts
OCD
childhood trauma & developmental concerns
parent stress & caregiver burnout
support for women and moms experiencing overwhelm
I provide trauma-informed, developmentally appropriate therapy for children (ages 4+), teens, adults, moms, and families.
Accessibility Rate for Referred Clients
Although The Counseling Haven is a private-pay practice, I recognize that many families are unable to utilize insurance or face barriers to accessing timely mental health care.
To support accessibility, all clients referred by any licensed medical or mental health provider qualify for a reduced rate of $140 per session.
This is a practice-wide policy, and no referring provider receives any financial benefit.
It simply allows clients to access needed care at a more manageable rate.
Provider Referral Form
Please Note: Clients referred through this form qualify for an accessibility rate of $140 per session. No financial benefit is provided to referring providers.