Referral Information

We accept referrals from all community partners/agencies. Individuals and parents may complete a self-referral as well.

We currently accept Full Medicaid, Amerigroup, Victims Compensation. Additionally, H.O.P.E. Counseling offers a sliding fee scale for those who qualify.

We welcome all referrals.

Please e-mail the referral form to inquiry@HopeCounselingServices.net

or fax it to (702) GET-HOPE (438-4673)

For additional information call (702) HER-HOPE (437-4673)

Referral form. Microsoft Word version download here. (DOC file -77.5 KB) 

                             Adobe Acrobat version download here. (PDF file - 348 KB)