New Client Referral Form For Therapists
Therapists: Please save and complete the form. Email the returned form to admin@inspiringmindsinc.org to send referrals.\
Adult Qualifications:
- Must be currently experiencing an approved mental health disorder or developmental disability (ex. Depression, Bipolar Disorder, Schizophrenia, PTSD, Autism, Intellectual Disability etc.)
- Must receive Medical Assistance
- Must be willing to commit to 6 visits with a PRP Counselor monthly
- Must be willing to go to therapy at least once monthly
Child Qualifications:
- Must be currently experiencing an approved mental health disorder or developmental disability (ex. ODD, Anxiety Disorder, ADHD, Depression, Bipolar Disorder, Autism, Intellectual Disability, etc.)
- Must receive Medical Assistance
- Must be willing to commit to 3 visits with a PRP Counselor monthly
- Must be willing to go to therapy at least once monthly