Professional Referral Partnering for Better Care At Behavioral Wealth Institute, we value collaboration with physicians, schools, and community providers. To protect client privacy, referrals are accepted by fax only using our secure referral form. How to Send a Referral 1. Download the Referral FormClick here to download2. Fax the Completed Form📠Fax: (757) 974-9580Please attach a signed consent form when applicable. What We Accept Referrals For Individual Therapy Children & Adolescent Therapy Couples & Family Therapy ADHD Testing Group Therapy Health Behavior Consultation Privacy Notice Please do not email PHI. Fax is our secure, HIPAA-compliant method for transmitting referrals.