Referral Form, Mental Health Logo
  • Mental Health Referral Form

    This referral form should be completed by individuals who are seeking mental health services at License to Freedom. Agencies, family members and friends can also complete this form on behalf of an individual who may need mental health services. Once completed, our Clinical Director of Family Therapy Services will reach out within 48 hours.
  • Thank you. However, we only offer our mental health services to refugees and immigrants. To find mental health services and other services, you can contact 211 San Diego or check out their website: https://211sandiego.org/.

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