PROFESSIONAL REFERRALS

Professional Referral Form

Complete this HIPAA-compliant digital form to refer a patient for counseling services.

Professional Referral Form

Affinity doesn't require a professional referral for clients to seek counseling services. However, they can often be helpful. If you are a professional provider who would like to make a referral, you can complete our Professional Referral Form, and we will make contact with the client within 1-2 business days.