We welcome the opportunity of working with you to serve the needs of your patients. As in medical practice it is important that we begin with information, including the reason for referral to Hopes for Healing Counseling and Consulting, PLLC for mental health services.

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As such, we ask that the referring physician complete the referral form, below, and either upload through our secure portal or send with the patient for their initial session. This will also give your patient a reminder of why you are they have decided that mental health counseling may be of benefit to them.

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Also, please share the QR code, below, with your clients. This links them directly to our Client Portal and allows them to create an account and schedule our initial consultation session.​​​​​

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Referral Form (Physicians Only)                                                Schedule Your Consultation

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If you would prefer, you can also download our referral form, here, complete it, and upload your referrals through our secure upload form by clicking HERE.

 

This form provides a HIPAA compliant, secure upload under the Business Associate Agreement (BAA)* we maintain with Google/Google Workspace**. 

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If you have any questions, please do not hesitate to contact us via email at info@hopesforhealing.com or via telephone at (281) 908-0067.

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We look forward to working with you and your patients.

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*For more information regarding our BAA with Google/Google Workspace, please click here.

**For more information regarding Google Workspace and Cloud Identity HIPAA Implementation Guide, please click here.