IF YOU ARE INTERESTED IN REFERRING YOURSELF OR SOMEONE YOU KNOW PLEASE COMPLETE THE APPROPRIATE AGENCY REFERRAL FORM(S) BELOW AND SUBMIT IT TO US VIA:

e-mail:  www.nhbc1@yahoo.com
fax:(866) 758-5731
Referrals
“Restoring balance & harmony to life & living one step at a time!” 

“Restoring balance & harmony to life & living one step at a time!” 

Satisfaction Survey
If you or someone you know have received services from New Heights Behavioral Consultants please complete the Satisfaction Survey to the right
and return it to the e-mail or fax number listed above.
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Intervention (wraparound)        Private Insurance Form