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.

Referral 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.

Self Referral 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

Initial intake appointments may take up to 90 minutes due to the amount of information reviewed. During the appointment, the patient will meet with a licensed therapist who will complete a Clinical Evaluation to identify a diagnosis, when applicable, and make recommendations for appropriate services.

Intake appointments may be completed in person, through telehealth from another approved location, or virtually from the patient’s home. For virtual intake appointments, all required intake documentation must be completed before the scheduled appointment. If you experience any problems accessing or completing the intake forms, please contact us so that we can assist you.

If a recommended service is not available through Support Incorporated, we can help connect the patient and family with one of our community partners. Our goal is to move patients from intake to the initiation of recommended services as quickly as possible. The timeframe may vary depending on the recommended service, availability, insurance, authorization requirements, and the schedules of everyone involved. Interpreting services are also available when needed. Please indicate the need for interpreting services 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