Our intern Holly Merchant has immediate openings for Friday sessions, in person in Bangor or telehealth for NO FEE.

Holly Contact Information: Holly@hmerchantcounseling.com

Our Clinical Director, Ellen Nelson, currently has a waitlist.

To schedule an appointment with Holly or to be added to Ellen’s waitlist, please send an email to:

ellen@centerforhealingandrecovery.org

OR fill out the referral form

(207) 200-8259

11 Adams Street, 3rd Floor

Biddeford, Maine 04005

REFERRAL FORM

Name of Client

First Name

Last Name

Name of Person Completing Form (if different)

Email

Brief Description of Reason for Seeking Therapy

What days/time are you able to meet?

Address (City & State)

Phone Number

(###)

###

####

Permission to Leave a Voicemail

Yes

No

Permission to Text

Yes

No

Insurance

Preferred Clinician

Location Preference

Telehealth

In Person

No Preference

Referral Source (if applicable)