Submit a Referral

If you are a clinician, healthcare provider, or agency wishing to refer a client to Tierra Clara Therapy, thank you for trusting me with their care. Please use the referral form linked below to share the necessary information. I will review the referral and follow up as soon as possible.

To protect privacy, please do not include sensitive or confidential information outside of the secure referral form. All client information shared will be handled in accordance with HIPAA standards.