Reach Out Now 1-888-BPC-WELL

Referrals

Make a referral to Bleuler Psychotherapy Center using our HIPAA compliant forms

Behavioral Health Self-Referral Form

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.

Behavioral Health Provider/Professional Referral Form

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.

We Are Ready To Help You Take Your First Steps

Call now and begin your journey to better living

Services

Quick Links

Get In Touch

104-70 Queens Boulevard, Suite 200
Forest Hills, NY 11375

37-64 72nd Street, Jackson Heights, NY, 11372*