Therapy Talk, Inc.
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    • Blog
    • No Surpises Act
Therapy Talk, Inc.
  • Home
  • Services
  • Therapists
  • Referral and Forms
  • Insurance & Grants
  • Careers
  • Interns and Observations
  • Blog
  • No Surpises Act

Referral FORMS for New clients

To start therapy for your child please complete these HIPAA compliant referral forms using this link----->


   REFERRAL FORMS CLICK HERE


Forms will automatically be sent to us after you complete them when you use the above link.  

Please call with any questions:  704-239-6321



REFERRAL FORM (pdf)Download
Consent and Financial Form (pdf)Download
Notice of Privacy Practices Policy (pdf)Download
Telehealth Consent (pdf)Download
COVID-19 GUIDELINES - (pdf)Download
Authorization for Release of Records (pdf)Download
CANCELLATION POLICY (pdf)Download


704-239-6321 office     844-708-0619 fax  

140 Cabarrus Avenue West,   Concord, NC. 28025

Office@TherapyTalk.org

Copyright © 2019 Therapy Talk; All Rights Reserved

  • Home
  • Services
  • Therapists
  • Referral and Forms
  • Insurance & Grants
  • Careers
  • Interns and Observations
  • Blog
  • No Surpises Act

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