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Elements of Motivation
Elements of Motivation
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    • Home
    • Refer a Client
    • Refiere un cliente
    • Our Services
    • A.R.T.
    • 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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  • Home
  • Refer a Client
  • Refiere un cliente
  • Our Services
  • A.R.T.
  • 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
  • Privacy Practices Notice

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Refer-a-Client or Self-Referral

Whether you are requesting services for yourself, or making a referral for someone else, you are in the right place! Please read below for more details about the referral process or if you're ready, click the button below to be taken directly to our Referral Portal.

Make a Referral

Refer-a-Client or Self-Referral

Referrals Are OPEN!

Consent for Communication

Consent for Communication

Our team of compassionate, experienced therapists is currently accepting new clients! We serve children, teens, adults, couples, and families with a wide range of needs and offer both in-person and telehealth appointments.


We accept Nevada Medicaid and many commercial insurance plans, with a variety of therapists, specialties, and appointment times available.


For questions about therapist availability, services, or getting connected with the right provider, please contact Dawayla Williams, LCSW, Director of Clinical Services.


📧 clinical@elementslv.com
📞 702-355-0297


We look forward to connecting you with the right therapist at Elements of Motivation!

Make a Referral

Consent for Communication

Consent for Communication

Consent for Communication

By submitting a referral for services, you consent to being contacted by Elements of Motivation, our providers, and our intake team regarding your referral, services, scheduling, and other related matters.


We may contact you using the phone number and email address you provide, including by phone call, text message, and email. This consent applies even if your telephone number is listed on a state or national Do Not Call Registry.


Please keep an eye out for communication from our team. We may use more than one method to reach you so we can connect you with a provider and begin services as quickly as possible. If you miss a call from us, please check your voicemail, text messages, and email for information from Elements of Motivation.

In-Home Therapy Availability

Commercial Insurance: Card Required

Commercial Insurance: Card Required

We are currently accepting new referrals for telehealth and in-office therapy services. At this time, we are temporarily unable to accommodate new referrals for in-home therapy.


For the soonest available appointment, please select “Telehealth is okay” on the referral form. Appointment availability varies by provider, service type, insurance, and scheduling needs.


If in-home services are specifically needed, please contact Dawayla Williams, LCSW, Director of Clinical Services to discuss current options and availability with you.

📧 clinical@elementslv.com
📞 702-355-0297

Commercial Insurance: Card Required

Commercial Insurance: Card Required

Commercial Insurance: Card Required

If you are using commercial insurance for services, please provide a clear copy or photo of the front and back of your insurance card so our team can verify your benefits and eligibility.


Please email your insurance card to:

📧 intake@elementslv.com


Providing your insurance information as soon as possible helps us avoid delays in processing your referral and getting you connected with a provider.

Insurances We Accept

Click here for direct link to our online referral form

Click here for direct link to our online referral form

Click here for direct link to our online referral form

Click here for direct link to our online referral form

Click here for direct link to our online referral form

Click here for direct link to our online referral form

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
Elements of Motivation HIPAA Release of Information (pdf)Download
Elements of Motivation CC Authorization/Patient Responsibility (pdf)Download

Copyright © 2026 Elements of Motivation - All Rights Reserved.


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