FORMS
Referral Forms
Referral forms are available for download in both Acrobat PDF and Microsoft Word formats. Links will open in a new window or tab.
Client Referral Form
Client Release of Information Form
CONTACT INFORMATION
2405 Nash Street NW Suite D | Wilson, NC
Phone: 252-245-1876
Fax: 252-291-9223
Email: [email protected]
OFFICE HOURS:
Mon-Fri and Weekends (Hours may vary)
ACCEPTED INSURANCE:
Blue Cross/Blue Shield
United Health Care
Cigna
Tricare
EAP (ComPsych , McLaughlin Young)