The Lukas Counseling Co.
The Lukas Counseling Co.
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  • More
    • Home
    • Referrals
      • General Information
      • Complete Online
      • PDF Version
    • Insurance
      • Make a Payment
      • Insurance Funding
      • About Medicaid
    • Clients
      • Forms
      • Verification of Services
      • Resources
      • Records
      • FAQs
    • About Us
      • Our Company
      • Administration
      • Clinicians
      • Locations
      • Careers
    • Espanol
  • Home
  • Referrals
    • General Information
    • Complete Online
    • PDF Version
  • Insurance
    • Make a Payment
    • Insurance Funding
    • About Medicaid
  • Clients
    • Forms
    • Verification of Services
    • Resources
    • Records
    • FAQs
  • About Us
    • Our Company
    • Administration
    • Clinicians
    • Locations
    • Careers
  • Espanol

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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