Family Solutions | submit a referral

Submit a Referral

Fill out our form below to submit a referral.

Help your family, friends, students and colleagues begin treatment. Before submitting this referral make sure you understand that Family Solutions USA has multiple locations. Please be advised that you cannot take the referral from one location to use at another office. Once an individual submits their request one of our counselors will call and ask you for more detailed information to complete the referral process.

    Can we leave you a voicemail?


    Please leave a brief message letting us know the full name of the person you are requesting an assessment for and why.

    Which Family Solutions employee referred or assisted you today?

    If you need immediate medical help please call 911 or contact a physician.
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    Smiling mother holding son after behavior therapy at Family Solutions