External Referral | The Journey Center

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Referring Agency*

Name of the person making the referral and the contact information:*

Reason for referral*

First name*

Last name*

Birthday*

Month

Day

Year

Email*

Phone*

Address*

Does client have insurance? Yes or No*

Appointment Availability

Virtual and in office appointments available

Monday - Thursday: 9:00am - 7:30pm

Fridays: 9am - 2pm

Saturdays: 9am - 2pm

We now accept Blue Cross Blue Shield and Aetna Insurance!

Contact Info

Address

Suite 17

Statesville, NC 28277

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