Refer to Phases

At Phases Counseling Collective, we do not require a referral to begin services, but referrals can be a helpful way to get started.

We gladly accept referrals from healthcare providers, school counselors, community agencies, and other professionals. Individuals are also welcome to self-refer for therapy.

Whether you're referring yourself or someone else, we aim to make the process simple, supportive, and responsive.

Phases Counseling Collective welcomes both professional and self-referrals. Please complete the form below to connect yourself or someone else with our team. We'll follow up within 2 business days to begin the intake process.

All information is kept confidential.

Referral Type*

Self-Referral

Provider Referral

School Referral

Other

Client First Name*

Client Last Name*

Client Date of Birth*

Client Phone Number*

Client Email*

Preferred Contact Method*

Phone

Text

Insurance Provider*

Member ID (if available)

Self-Pay

Client does not have insurance / Private Pay

Client is experiencing financial hardship and is interested in reduced session rates

Reason for Referral*

Referring Provider Information (if applicable)*

*Providers Only: I would like to be updated about this referral (with signed client release).

Yes

Anything else you'd like us to know?

Contact

referrals@phasescc.com

(864) 514-8849

Flexible Scheduling

Evenings and Weekend Appointments Available!

PHASES

Phone:
(864) 514-8849

Email:
info@phasescc.com