Thank you for your interest in referring your patients to our practice.

Below you will find the necessary forms and information that you need to refer your patients for EMDR therapy or Talk Therapy.

If you have any questions please reach out by email or phone.

miranda@mirandarohelcsw.com

315-753-8710

I recommend downloading the Provider Packet first.

The remaining files are available to download individually for your convenience.

Provider Packet (Download this FIRST)
Includes information and referral forms