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Referral Form

Referring Person and/or Facility

Referral Information

Birthday
Month
Day
Year
Multi-line address
Are there transportation barriers?
If available, please attach the following:

Include where and dates completed.

Please upload supporting documentation.

"Amanda is providing an extremely important & needed service within our community. This is the first time I’ve ever had a specific med management person on my wellness team. My overall mental/emotion health has improved since becoming a client. I’m thankful this type of healthcare is now available in our rural area. I have already referred multiple people to their services."

Kristen

"I can't recommend this place enough, everyone I've encountered there has been nothing but kind and understanding. I've seen a few therapists and psychologists, but none of them took the time and the care to understand just who I am and what's going on with me. Highly, highly recommend it especially for those of us who suffer from the effects of complex trauma, dual diagnosis, and grief."
"Speaking with Mackenzie for only a few weeks has already changed my life for the better in so many ways. She’s extremely personable, she hears everything you have to say, I would recommend her to anyone!"
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Park Rapids Office

1011 1st Street East

Suite 5

Park Rapids, MN 56470

Detroit Lakes Office

808 Washington Avenue

Suite 15A

Detroit Lakes, MN 56501

©2023 Enlightenment Psychiatry

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