You can use this form to refer yourself or a family member to Inner Solutions™. If you are a professional referring a client, you can use this form as well. Please be assured that all information is safeguarded and confidential.
Once you’ve completed and submitted this form, we will contact you to confirm that we have received it. This will be followed up with a phone call in 3-4 business days to discuss your intake and treatment options.Anybody with another concern should indicate so on the self-referral form and we will be in touch to discuss.
If you feel more comfortable providing this information over the phone, please feel free to do so at 403-301-3399.