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Referral Form for a Child / Adolescent

If you would like to refer a child or adolescent for an assessment or treatment, please complete the information below. This information will help Heather Risk PsyD & Associates, PLLC in ensuring your child’s needs are met. After receiving the following information, we will contact you to discuss any questions and take the next steps to beginning services.

Click here to view our Grievance Procedure.