COVID-19: Telehealth Online Therapy is now available for all of our services!

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Elements of Motivation
Elements of Motivation
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    • Home
    • Refer a Client
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    • Our Services
    • About Us
    • Insurance and Fees
    • Our Providers
    • Our Office
    • Opportunities
    • Our Community Partners
    • Satisfaction Survey
    • Grievance Reporting
    • Provider Resources:
      • Therapist Forms and Links
      • PSR BST Forms and Links
      • EOM Training Videos
      • Exam Resources
      • CEU Information
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  • Home
  • Refer a Client
  • Refiere un cliente
  • Our Services
  • About Us
  • Insurance and Fees
  • Our Providers
  • Our Office
  • Opportunities
  • Our Community Partners
  • Satisfaction Survey
  • Grievance Reporting
  • Provider Resources:
    • Therapist Forms and Links
    • PSR BST Forms and Links
    • EOM Training Videos
    • Exam Resources
    • CEU Information
    • Client Resources
    • Client Assessments
    • Medicaid 16-Hour Training

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Refer-a-Client or Self-Referral

Referrals are OPEN...

Consent for Communication

Consent for Communication

Our excellent team of therapists are accepting  new referrals. At times we do have a short waitlist, so bear with us! Thank you!      

 

Please contact Dawayla Williams, LCSW, Director of Client Relations and Service Coordination for any questions regarding other availability for service providers- clinical@elementslv.com or 

209-355-0297 (Dawayla's mobile phone)


Updated July 8, 2024

Consent for Communication

Consent for Communication

Consent for Communication

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.

We Are Temporarily Unable To Accommodate New Referrals For In-Home Therapy Services

We Are Temporarily Unable To Accommodate New Referrals For In-Home Therapy Services

We Are Temporarily Unable To Accommodate New Referrals For In-Home Therapy Services

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 Dawayla Williams, LCSW, Director of Client Relations and Service Coordination for any questions regarding other availability for IN-HOME service providers-  clinical@elementslv.com or  

209-355-0297 (Dawayla's mobile phone)


Updated  May 6, 2025

Commercial Insurances- Copy of Insurance Card Required

We Are Temporarily Unable To Accommodate New Referrals For In-Home Therapy Services

We Are Temporarily Unable To Accommodate New Referrals For In-Home Therapy Services

Do you have commercial insurance? 


We will need a copy of the front and back of the insurance card for all commercial insurance types. 


Please send to intake@elementslv.com 

Insurances We Accept

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 intake@elementslv.com 


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


If you would prefer to complete the Referral Forms, Consent Forms, etc. in SPANISH please click here.

   

Si prefiere completar la referencia, consentimientos, etc. en ESPAÑOL, haga clic aquí .

Elements of Motivation- Referral Form Updated 5.2023 (pdf)Download
Elements of Motivation Intake and Consent Forms (pdf)Download

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