Therapy Referral Form

To obtain virtual or office based therapy services please complete our online therapy referral form. Once we verify your insurance will cover our services we will email you consent forms to begin services. If you have any additional questions or concerns feel free to contact us via email  or call (317) 296-4187. We accept Medicaid, Hoosier Healthwise, HIP, HIP 2.0, Medicare, most private insurances and self-pay.

COVID Assistance Referral

If you need any assistance coping with the impact of COVID on you and/or your family let us help. These services are free to those that need help, please complete the Pandemic Response Team Referral to access these services. These services are available to all of Indiana.