Mental Health Referral Form
**If your patient has an urgent mental health need, please call and we will see them in the same day for a walk-in appointment**
Phone: (719)493-9555
Secure Fax: 719-284-4627
Email
3720 Sinton Rd.,
Suite 104,
Colorado Springs, CO 80907
To submit a referral please fill out and submit the form below
