top of page

Psychotherapy Referral Form

This form is only for referral contact information.

We will follow up with you to securely gather clinical details.

Please do not enter patient PHI here.  

​

You may also fax referrals to 919-858-6911. 

We use HIPAA-compliant encrypted systems for PHI.

Referral Concern(s) Required

Thank you for submitting a referral inquiry.
Our intake team will contact you securely to complete the referral process.

​

​

Get the help you need

Click to schedule your first appointment.
Stressed Woman

Address

101 Southwest Cary Pkwy

Suite 40

Cary, North Carolina 27511

Contact

frontdesk@beyondplateauspsychotherapy.com

Office:  919-858-6910

Fax:  919-858-6911

​

Hours of Operation

Mon.- Fri.   9:00 am- 6:00 pm

Saturday     By appointment only

Sunday       By appointment only

© 2023 Template Design by CreatedbyVision, LLC. Proudly created with Wix.

bottom of page