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If you are a provider referring a client or patient, click here.
For Providers

Having trouble viewing this form? Please email admissions@guidelighthealth.com or call (888) 681-2730 , and our team will connect with you right away to complete your referral.

If you are ready to schedule a clinical evaluation on behalf of your client, please click here.

If you would like for us to reach out to your client to schedule an evaluation, please click here.

If you would like more information or to speak with a member of our team, please click here to complete the form, and a member of our intake team will be in touch.

If you are seeking care for yourself, click here.
For Self Referrals

If you are ready to schedule a clinical evaluation for yourself, please click here. click here.

If you would like more information or to speak with a member of our team, please click here to complete the form, and a member of our intake team will be in touch.

Thank you for trusting us. We don’t take that responsibility lightly.

 

Having trouble viewing this form? Please email admissions@guidelighthealth.com or call (888) 681-2730, and our team will connect with you right away to complete your referral.