Thank you for choosing Forsyth Family Counseling for your patient's behavioral health care.

As a professional, you want your client to receive effective, specialized, and caring treatment. At Forsyth Family Counseling, you can rest assured they will receive this level of care.

 

Please learn more about Forsyth Family Counseling, PLLC by exploring this website. Useful forms are located on this page and the Patient Forms page. **Please call our contact line to confirm that we are able to take on your referral.  336-355-8244

 

Thank you again for choosing Forsyth Family Counseling, PLLC.

Referral Form
Please complete this form when referring a client to our practice. This form may be faxed to 336-546-7630.
**Please do not fax any medical records with this form.
Provider referral form.pdf
Adobe Acrobat document [620.4 KB]
Release of Information (ROI) Form
Please have the client (if over at 18) or parent/guardian (if under age 18) sign this Release of Information form. Please fax the signed ROI along with the completed Referral Form to 336-546-7630
New ROI.docx
Microsoft Word document [755.3 KB]

Where to Find Us:

Forsyth Family Counseling

942 West 4th Street

Winston Salem, NC 27101 

Phone: 336-355-8244

F ax: 336-546-7630

Email: contact@forsythfamilycounseling.com

 

 

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