Online Referral Form Here

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    • Home
    • Referrals
      • General Information
      • Complete Online
      • PDF Version
    • Insurance
      • Make a Payment
      • Insurance Funding
      • About Medicaid
    • Clients
      • Forms
      • Resources
      • Records
      • FAQs
    • About Us
      • Our Company
      • Our Team
      • Contact Us
    • Careers
The Lukas Counseling Co.
  • Home
  • Referrals
  • Insurance
  • Clients
  • About Us
  • Careers

download instead

If you would rather download a PDF copy of our referral form and email it to us, you can do so here. Then send it to the appropriate fax number or email on the form, based on your location.

Referral2022 (pdf)Download

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Counseling & Behavioral Health