Referral Form

We are committed to providing exceptional mental health services to our clients. This referral form has been designed to streamline the process of referring individuals to our practice. Your thoughtful referral ensures that those seeking support receive the care they need in a timely manner

By submitting this referral form, you acknowledge that you have obtained the necessary consent from the client to share their information for the purpose of this referral. We strive to respond to all submitted referral forms within 24 to 48 hours of submission.



Mailing Address

139 James Comeaux Rd

Lafayette, 70508

Business Hours

Monday - Thursday: 8:00 AM - 5:00 PM

Friday: 8:00 AM - 12:00 PM

Saturday & Sunday: Closed