Our Secure & Confidential Referral Process
Thank you for your interest in beginning services with The Canvas of Life Counseling, LLC. Completing this secure and confidential referral form is the first step in our new-client intake process.
The information you provide helps us understand what support you are seeking and determine whether one of our current providers may be a good fit based on needs, availability, insurance, scheduling preferences, and other relevant factors. If an appropriate opening becomes available, a member of our team will contact you regarding next steps.
Please note that submission of this form does not guarantee immediate placement or establish a therapeutic relationship. If you are experiencing an immediate mental-health crisis or safety concern, please call or text 988, call 911, or go to the nearest emergency department.
Thank you for your interest in beginning services with The Canvas of Life Counseling, LLC. Completing this secure and confidential referral form is the first step in our new-client intake process.
The information you provide helps us understand what support you are seeking and determine whether one of our current providers may be a good fit based on needs, availability, insurance, scheduling preferences, and other relevant factors. If an appropriate opening becomes available, a member of our team will contact you regarding next steps.
Please note that submission of this form does not guarantee immediate placement or establish a therapeutic relationship. If you are experiencing an immediate mental-health crisis or safety concern, please call or text 988, call 911, or go to the nearest emergency department.