TO BECOME A CLIENT:

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If you would like to receive counseling services for yourself: Contact our Intake Line at (734) 635-7004.


FOR PROVIDERS: 

If you are a healthcare provider or other professional referring a patient for in-home counseling:

  • Please send us a signed Release of Information form with the other referral information to our FAX line at (734) 219-7197.  

  • If you would like to discuss the needs of the individual with us, please contact our intake line at (734) 635-7004.  

  • To reach us by email, CLICK HERE.

Note: The following information is helpful to us in starting our work with a new client:

  • Client's name
  • Address
  • Phone number
  • Date of birth
  • Insurance Information (Medicare number or other primary insurance, as well as any secondary or supplemental insurance)
  • Referral Source (Name, agency and contact information)

  • Reason for the referral