Referrals

We appreciate your interest in referring clients to our comprehensive mental health services. At Usawa Wellness Services, we are dedicated to providing compassionate, professional, and individualized care to all our clients. To facilitate the referral process and ensure a seamless transition for your clients, we have provided a downloadable referral form below.

How to Refer a Client

  1. Download the Referral Form:

    • Click the link below to download the Usawa Wellness Services Referral Form.

  2. Complete the Form:

    • Fill out all required fields with accurate and detailed information about the referring provider, client information, and the reason for the referral.

  3. Client Consent:

    • Ensure the client is aware of the referral and has provided consent. This is crucial for us to begin the intake process smoothly.

  4. Submit the Form:

    • Email: Send the completed form to admin@myusawa.org

    • Fax: Fax the form to 833-672-2760

    • Mail: Send the form to 11901 Toepperwein St 1202, Live Oak TX 78233

Download the Referral Form

Usawa Wellness Services Referral Form

Contact Us

If you have any questions or need further assistance, please do not hesitate to contact us:

  • Phone: 210-951-3479

  • Email: admin@myusawa.org

Our Commitment

At Usawa Wellness Services, we are committed to:

  • Ethics: Upholding the highest standards of professional conduct and confidentiality.

  • Advocacy: Actively supporting the mental health and well-being of our clients.

  • Integrity: Ensuring honesty and transparency in all our interactions.

  • Respect: Valuing each individual’s unique experiences and perspectives.

  • Honesty: Communicating openly and honestly with clients and partners.

Thank you for choosing Usawa Wellness Services. We look forward to collaborating with you to provide exceptional care for your clients.