Client Intakes and Referral Forms
Supporting Providers and Families
At Essential Therapy Group, we make the referral process simple and secure. Whether you’re a healthcare provider, case manager, or family member, you can easily submit a referral for Occupational, Physical, Speech, or Psychotherapy services. Our team will review each submission promptly and contact you to coordinate care.
Instructions:
To submit a referral, please download the form above, complete all sections, and email it to medy.essential@gmail.com.
If you have any questions about eligibility, documentation, or service availability, our intake team is happy to assist..
