Caring Hearts Professional Counseling Services, PLLC
Call for more info: 910-299-0848
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                                                        Referral Process 
                                                       for 
         All Private Insurances, Self-Payment, Medicaid Direct (Alliance) &
                                   Medicaid Standard PHP Plans


                                         There are 3 ways to refer to our agency: 

1.  Call our agency and self-refer.  We will obtain your information and provide you with an appointment.

                          
2.  Print & complete the referral form (below); then, fax it to our office at 910-299-0850.  Once this referral form is received and reviewed, you will be contacted to schedule your appointment. 


3.  Physician's office must complete the referral form below or fax your agency referral form along with supporting documentation to 910-299-0850.



       ***Important Change for Outpatient Behavioral Health*** 
                   Medicaid Recipients can now be self-referred
                                    

                    If you have any questions regarding the referral process, 
                          please call us at 910-299-0848 for clarification.