Refer a Client!
For Provider Use Only
Thank you for considering a referral to Younoia Counseling and Psychological Services.
To make the intake and general process of coordinating care as smooth as possible for you and your client, please return the completed referral form provided below to (980) 288-4842 (fax).
Please be assured that this referral, and the information obtained with it, will be handled in a manner that respects your client’s privacy and complies with HIPAA regulations. You may also contact me regarding questions about potential referrals at (980) 553-1242 or .
Once your referral is received, I will follow up with you and your client within one business day.