OYEN's Self Referral Form for Mental Health Services
All information submitted on this referral form is completely confidential and secure. After you submit the referral form, you will be emailed a copy for you records. Please note, filling this form out does not guarantee mental health services, this is the first step in our process. We review benefits and assess our wait lists before reaching out. The next step in this process is to schedule a phone call and do a full intake, this happens before you are paired with a therapist for your first session with us. This is all dependent on your insurance verification or your ability to pay out of pocket.
