This referral form is for community partners and individuals seeking services with our practice. All new patients are required to complete an initial evaluation with one of our medical providers. If therapy, Targeted Case Management, or other behavioral health services are recommended, appropriate referrals will be made following the initial appointment.
Please complete the form in its entirety and upload any relevant documentation or attachments that may assist our team in processing the referra
300 W Dixie Avenue STE 200, Elizabethtown, KY, United States, Kentucky
Phone: (270) 982-0855 Email: Office@etowntwc.com Fax: (270) 982-0866
Mon | 09:00 am – 05:00 pm | |
Tue | 09:00 am – 05:00 pm | |
Wed | 09:00 am – 05:00 pm | |
Thu | 09:00 am – 05:00 pm | |
Fri | 09:00 am – 05:00 pm | |
Sat | By Appointment | |
Sun | Closed |
Office Closed Major Holidays
Use our self-scheduling link below to select a date and time that works best for you. Booking has never been easier—choose a time that fits your schedule and get ready for your appointment! We can’t wait to hear from you and help you feel your best! - TWC
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