Patients and Providers

Intake & Referrals

Take the Next Step Today

Welcome to The Psychological Wellness Clinic's Intake and Referral Page.


This section is designed to streamline the process of new patient registration and facilitate referrals from other healthcare providers. Whether you're seeking to begin your journey toward mental wellness or a fellow provider looking to refer a patient, please complete the form below. We look forward to working with you to support your mental health and well-being.

Begin the Journey

"Amazingly empathetic and respectful. Great listener and value driven therapy. Respects my boundaries and helped me uncover parts of me that I’ve blocked. Thank you for the growth and for being such a safe space for me to bloom."