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Elements of Motivation

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Elements of Motivation

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    • Grievance Reporting
    • Provider Resources
      • Therapist Forms and Links
      • PSR/BST Forms and Links
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  • Home
  • Refer a Client
  • Our Services
  • Insurance and Fees
  • Our Providers
  • Our Office
  • Opportunities
  • Satisfaction Survey
  • Self-Care Nomination
  • Suggestions/Improvements
  • Grievance Reporting
  • Provider Resources
    • Therapist Forms and Links
    • PSR/BST Forms and Links
    • EOM Training Videos
    • Exam Study Resources
    • CEU Information
    • Client Resources
    • Client Assessments
    • Medicaid 16-Hour Training

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Refer-a-Client or Self-Referral

Referrals are OPEN but...

Not Currently Accepting New In-Home Therapy Referrals

Referrals are OPEN but...

Our excellent team of therapists are full and we expect to have some availability coming in the next 3-4 weeks. We are still accepting new referrals but our waitlist is pretty long, so bear with us! Thank you!      

 

Please contact Lori Insera, MFT, Clinical Director for any questions regarding other availability for service providers- lori@elementslv.com or 702-370-5685


Updated April 10, 2023

Consent for Communication

Not Currently Accepting New In-Home Therapy Referrals

Referrals are OPEN but...

By submitting a referral for services, you expressly consent to having Elements of Motivation, our providers, and intake team contact you about services, by text message, phone, or email to the telephone number/email you have provided. 

This consent applies even if that telephone number is on a corporate, state, or national Do Not Call Registry.


Please note, our staff will attempt to contact you using all methods for communication listed, to avoid delay in initiation of services. We understand that there are a high number of spam calls. Please be on the lookout for communication with our staff and providers so that we may schedule with you as soon as possible.

Not Currently Accepting New In-Home Therapy Referrals

Not Currently Accepting New In-Home Therapy Referrals

Not Currently Accepting New In-Home Therapy Referrals

For the soonest available appointment, please indicate "Telehealth is okay" on the referral form. There is a waitlist for both telehealth and in-office, but it may be a longer waitlist for in-office therapy services. 


Please contact Lori Insera, MFT, Clinical Director for any questions regarding other availability for IN-HOME service providers- lori@elementslv.com or 702-370-5685


Updated April 10, 2023

Web-Based E-Referral

Download Referral Form and Consent Forms

At Elements of Motivation, we attempt to be as paperless as possible--but if you you still prefer paper and pen, please see our referral form and consent forms below that can be downloaded and faxed to us at: 


fax- (702) 446-8034 or emailed to admin@elementslv.com 


Thank you for trusting us to provide the best therapeutic services to you and yours!

Elements of Motivation- REFERRAL FORM Updated 5.2023 (pdf)Download
Elements of Motivation Intake and Consent Forms (pdf)Download
Elements of Motivation- acuerdo de servicio y consentimiento (pdf)Download
Elements of Motivation- autorizacion para el uso o divulgación de información de salud protegida (pdf)Download

Copyright © 2022 Elements of Motivation - All Rights Reserved.

  • Satisfaction Survey

Please Note:

We have a short waitlist at this time for therapy. We are still accepting referrals, but you will be added to our waitlist and assigned to a therapist as available (which can be 1-2 weeks after completing the consent forms). Thank you!

That's okay! Take me to the referral form!