Self Referral

Thank you for submitting a referral. Please be patient as it may take 3-5 business days to follow up on your submission. We will be calling from 864-520-2020 or e-mailing you from Have a great day!


  1. We are not accepting Medicaid insurance at this time. Click here for additional Medicaid resources. 

  2. Our therapists are currently full. At this time we are not accepting counseling referrals, only medication management. If you need help finding additional therapy resources, feel free to text our office at 864-520-2020, and we will be happy to provide you with a list of therapists. 

  3. If the client is under the age of 18, a parent must be present during appointments. 

  4. Any fields containing * are required for completion. Self-referrals missing required information will not be submitted successfully.

Did you miss a field?


Use the "List of fields" button to see what needs to be completed

Trouble with your form?


See troubleshooting tips here