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Professional Referral

  /  Professional Referral

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



























































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