Relucent Referral Form
Thank you for your interest in referring your client to Relucent Psychology Group. Your client/patient will receive an email or phone call to schedule a free 15-minute consultation with Kathy Phan, our Director of Operations & Client Services.

Please note that we are out of network with all insurance carriers and provide superbills.

This form is confidential and HIPAA secure.

If you are experiencing a crisis, please call 911, go to your nearest emergency room, or contact a crisis line.
Suicide and Crisis Lifeline: Call or Text 988
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