Skip to content

In crisis? Call or text 211 or call 911. This practice cannot provide emergency care.

HomeYou Matter Counseling and WellnessCounseling & WellnessWhere connection creates change

1744 Ellington Road · South Windsor, CT 06074

Office (860) 791-2273eFax (351) 222-3581

Contact & Referral Form

Healing Starts With Taking the First Step

Whether you're looking for therapy, medication management, or simply want to learn more about how we can help, we're here to make getting started as comfortable and straightforward as possible.

A person sitting on a dock facing a mountain lake with the words Healing takes time, and asking for help is a courageous first step.

Ready to Take the First Step?

Complete our referral form below, and a member of our team will reach out to you to discuss next steps and help connect you with the right provider.

Your healing matters. Your story matters. And it all starts with you.

Download Fillable PDF Form

Fill it in, save, and email to referral@youmatter-counseling.com.

Referral Form

Name:
Preferred Method of Contact:
Are you seeking services for:
Service You Are Interested In:
Preferred Provider:
Preferred Appointment Type:

Please share a brief description of what you're looking for support with.

Submit Referral

Please do not include emergency or crisis information in this form. If you are experiencing a mental health emergency or are in immediate danger, please call 911 or contact 988 for the Suicide & Crisis Lifeline.