Therapist Referral Form

This form is dedicated to therapists wanting to submit a referral on behalf of their client. The therapist must have consent from their client to coordinate care and refer to iTrust Wellness Group. 

As we monitor the current global health situation, our office is taking precautionary strides to ensure the safety and well-being of our clients. All appointments for the near future, including both initial consultations and follow-ups, will be held over a secure telepsychiatry platform until further notice. 


Please note that our providers who are currently in network with insurance companies have a full client list. Our provider who is able to move forward with new clients is currently in the process of becoming credentialed with insurance. This process can take approximately 60 days. In the meantime, initial appointments will be self-pay; however, we have reduced our self-pay rates while these appointments are held over telepsychiatry. Please do not hesitate to call the office if you or your client have questions regarding this change.