Make a Referral

Thank you for trusting Caring Therapists with your client's your mental health needs. Please fill out the form and someone will be in contact with your referral. We have offices in Davie, Pembroke Pines, Fort Lauderdale, Sunrise, Coral Springs, Wellington, Hollywood, Port Orange, Orlando, and Palm Beach Gardens and offer telehealth through the state of Florida.

954-378-5381

info@caringtherapists.com

Name of person making the referral *

Email of person making the referral *

Name of person being referred *

Email of person being referred *

Reason for referral *

SMS Policy

By opting into SMS from a web form or other medium, you are agreeing to receive SMS messages from Caring Therapists. This includes SMS messages for account notifications and customer care. Message frequency varies. Message and data rates may apply. No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. See privacy policy at https://caringtherapists.com/privacy-policy. Message HELP for help. Reply STOP to any message to opt out.

Yes, I want to Opt-In *

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Yes, I want to submit this form & agree to the terms of use. *