Make A Referral

*** Note: This referral feature is for professionals who would like to refer their clients or patients to me (with consent). If you are a client, please click on "Book Appointment" and I will be delighted to meet with you. You don't need to complete a referral form. ***

To use my convenient referral system, simply enter patient contact information below and click to indicate consent for sharing. You may then select whether I am to follow up with the patient or if they will contact me. As follow-through is often difficult for people suffering from anxiety, depression, or ADHD, there is also an option to book an appointment immediately.

Referral Submission Form