Patient Referral Form
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Help Us Support More People in Our Community
At Horizon Counseling Services, we believe that everyone deserves access to compassionate and effective mental health care. Your referral can make a difference in someone’s life.
How to Refer a Client
If you know someone who could benefit from our counseling services, please use the form below to send us their information or share our contact details with them. Referrals can come from:
- Current or past clients
- Family members or friends
- Healthcare providers
- Schools or community organizations
Referral Form
Please fill out the information below, and our team will get in touch promptly:
Contact Us Directly
You can also call or email us directly to discuss a referral:
Telehealth services are available as well.
Contact 801-200-3232 through call/text: 801-200-3232. Text is preferred and you can generally get a quicker response this way.
- Office Hour ( Mon-Sat: 09.00 AM - 07.00 PM)
- Sunday: by appointment