Referral Form

You can make a HIPPA compliant referral by selecting the “Make A Referral” button below.

We answer inquiries and take confidential referrals via phone, email, fax or our online referral form.

Phone: (888) 903-5604, Option 1
Monday through Friday, 9am-5pm CST

Email: info@inhomecounselingservices.com

Fax: (224) 788-5112