Make A Referral

Connect Others with Our Services

How to Refer Someone Today

Referring someone to our services is a straightforward and significant way to help individuals in need access the support and resources they require. If you are interested in referring someone, click on the link below and fill out the form.

Appointment Form

Patient Self-Referral

Parents, guardians, or patients can use the self-referral form by clicking the link below and completing the live interactive form.

Appointment Form

Fax Referral Form

Print and fill out the PDF below and fax it to 704-865-3520.

PDF Referral Form

Reach Us By Phone

Call our office at and listen carefully to the options on how to make a new referral.

704-865-3525

For an Alliance S.B. 693 Referral

Click Here

The Referral Process

Support, Inc. has a well-defined, user-friendly referral and intake process. Once the need for mental health services has been identified, anyone can make an appointment through the methods above. At that point, we will reach out to the family schedule the initial appointment at one of our offices or via telehealth.

Appointment Information

First appointments can last over two hours due to the amount of information that is covered. At this appointment, patients will see a Licensed Therapist and a Nurse Practitioner, Physician Assistant, or Psychiatrist. Our team will complete a Clinical Evaluation or Diagnostic Assessment to determine a diagnosis, if applicable, and recommendations for services needed. We have the ability to provide medication management at the first appointment, if necessary.

If we do not provide a service that is recommended, we can assist with linking to one of our many community partners. Our goal is to complete the total process from intake to initiation of services within five days. Depending on the availability of all parties involved, the intake to initiation of services process could take longer, but it is our goal to initiate services in the shortest possible time frame. We can also provide interpreting services as needed. If interpreting services are needed, please check the box on the referral form.

Level II Therapeutic Foster Care

When making a referral specifically for Level II Therapeutic Foster Care, please complete our Level II Referral Form below and fax it to 704-865-3010. Once the form is faxed, please call 704-865-3525 to inquire concerning availability.

Level II Referral Form