Mental health counseling for children, adults & families

REFERRAL: counseling for children & adults

CT Kids Matter brochure (pdf)

Referral CT Kids Matter (pdf)

CALL or TEXT: 1-203-599-1492

OR

FAX: 203-433-0669

Information needed:

Name and Date of Birth

Address

Insurance information

Availability for appointments (days, times which work best)

Please download and complete the attached counseling referral form and submit via fax (203) 433-0669 or secure email.

A photo of referral form can also be emailed or text to our HIPAA secure phone system: 203-599-1492

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