top of page

Referral Submission

We are here to help you!

Licensed Clinician Referral

If you are a licensed clinician submitting a referral for a prospective client, please click on the icon below. All referrals must be completed in its entirety including clinicians signature. All referrals must be emailed to

Self-Voluntary Referral

Are you seeking mental health services? Please complete the small questionnaire below and a NEXTgeneration representative will reach out to you within 48-72 hours!

Health Questionnaire

Please fill out the following form
in order for us to better serve you.

Have you been hospitalized in the last 12 months?
Are you suffering from a medical condition or mental health illness?

Thanks for submitting!

bottom of page