Self Referral

If you are a new client to our office, we ask that you begin by completing our brief online intake form below. This reduces the amount of paperwork needed during your initial appointment and streamlines the overall "onboarding" process. We will follow up with you in approximately 4-5 business days regarding your self referral. You will be redirected to a confirmation page after successful completion of this form.


117 Commons Way

Greenville, SC 29611

Phone: 864.520.2020

Fax: 864.640.4400

© 2019 by iTrust Wellness Group, LLC

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