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Elements of Motivation

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Refer-a-Client or Self-Referral

Referrals are OPEN

Not Currently Accepting New In-Home Therapy Referrals

Consent for Communication

Our excellent team of therapists have some availability and we are accepting new referrals at this time. 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 June 22, 2022

Consent for Communication

Not Currently Accepting New In-Home Therapy Referrals

Consent for Communication

Please note that 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 or phone, to the telephone number you have provided. 


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

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 may currently be a 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 18, 2022

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

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