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 Form

    Click here to download

  2. Fax the Completed Form

    šŸ“  Fax: (757) 974-9580

    Please 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.

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