Referrals are required before you can be scheduled.
Option 1: Have a provider or counselor current or past, fax our office (866-581-8172).
Option 2: Email Dr. Topol a self-referral.
Referrals should include:
past treatment information
current or past medications
mental health diagnoses you may have received in the past
reasons for your interest in beginning treatment with Dr. Topol
When you arrive for your first appointment, please fill out and bring the 7 forms listed below
along with copies of the front and back of any of your insurance cards.
Release form for current or past patients to allow Dr. Topol to release notes.