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Partner Referral

Thank you for your referral.
Baby and Me offers relationship-based, reflective support for parents and young children. Please note that I am not a licensed counselor or therapist, and I do not bill insurance. All services are private pay only.

Before submitting this form, please confirm that the caregiver has given verbal consent to be contacted.

Interested in becoming a referral partner? Reach out here to learn more about working together.

Referral Submission

Referred Client Name

Reason for Referral (Select all that apply)
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