Referral Form

Support Your Patients’ Mental Health with Ease

‍Does your client need more mental health support than your agency can provide? At FamLee First Clinical Services, we offer comprehensive, evidence-based mental health care to help your patients achieve lasting well-being.

Led by Rick Lee, a Licensed Clinical Social Worker committed to prompt, high-quality, evidence-based services, our team delivers personalized care to meet your patients’ diverse mental health needs.

Why Refer to Us?
Comprehensive Mental Health Care: Our group practice provides therapy to address a wide range of mental health concerns, empowering patients with skills for lasting change.

Quick and Easy Process: Complete our secure, HIPAA-compliant referral form, and we’ll handle the rest.

Prompt Follow-Up: After submission, your patient will receive an immediate email and text to schedule a free 15-minute mental health consultation. Our clinical coordinators will contact them within 2 business days to verify insurance and schedule their first therapy appointment.

How It Works

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Fill out the simple, HIPAA-compliant referral form below with basic patient information.
Your patient will be notified instantly via email and text to schedule their free consultation.
‍During the consultation, we’ll verify insurance and assist them in booking their first therapy session.

Take the first step in supporting your patients’ mental health. Complete the referral form today, and let us provide the high-standard care they deserve.

Provider Referal Form

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From Scheduling to Lasting Change

Experience transformative therapy at FamLee First Clinical Services. Schedule and be paired with a therapist, engage in personalized mental health therapy, and empower lasting change.

Schedule: Schedule and be paired with a therapist

Intake: Get to know your therapist

Therapy: Begin the journey of holistic life balance

Lasting change: Empower yourself with skills for success

Areas of Specialization

Professionals

Our therapists provide a confidential space to address burnout, work-life balance, and high-pressure demands.

Stress

Manage stress with our targeted therapy services.

Self Esteem

Building confidence and self-worth.

Women's Health

Address women’s health concerns with our specialized therapy services.

Depression

Support for overcoming persistent sadness.

Anxiety Disorders

Tools to manage worry and panic.

Life Transitions

Guidance through change and adjustment.

Grief and Loss

Support for coping with bereavement.

Reach Out Today

Same Week Appointments Available

Schedule a free 15 minute consultation. Learn about our services.

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