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This form is intended for individuals who wish to refer themselves or someone else to Bleuler Psychotherapy Center. It can be used by family members, friends, or anyone who knows the person seeking help.
This form is intended for use by medical providers and personnel at Community Based Organizations as well as Criminal Justice Agencies referring an individual to Bleuler Psychotherapy Center. It ensures a seamless transition of care and facilitates communication between providers.
Access readily available and timely mental health services when you most need them. We are committed to promoting collaborative care for improved well-being, ensuring you receive the support necessary for a healthier, more balanced life.
104-70 Queens Boulevard, Suite 200
Forest Hills, NY 11375
37-64 72nd Street, Jackson Heights, NY, 11372*
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