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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 info@ngtstherapeutic.com

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!

Address
14900 Sweitzer Lane 

Suite 200
Laurel, Maryland 20707

 

                       Phone
240-360-2161



 

                         Fax
240-280-1698



 

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© 2018 NEXTgeneration Therapeutic Services

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