Please click on the following link to complete the Request for Service for outpatient services. Once you have submitted the form, our Intake Coordinator has reviewed it you will be contacted.
Request for Services Form (please make sure to click submit at the bottom of the form, to ensure that we get your form)
If you are looking to refer a patient to the Symmetry(Co-Occurring Behavioral Health Group) please click on the following link. Once you have submitted the form, our Intake Coordinator has reviewed it you will be contacted.
Symmetry Referral Form (please make sure to click submit at the bottom of the form, to ensure that we get your form)
Click here for Notice of Privacy Practice