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TIS Online Physician Referral Form

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Hard Copy Referral Form
Please complete the attached document and Fax Attn: Med Rec
TIS Referral Form Mental Health.docx
Microsoft Word document [211.3 KB]

Where to Find Us

 

Therapeutic Intervention Services Inc.

 

Corporate Office:

413 Mount Cross Rd. Suite 106

Danville, VA 24540 

Phone: (434) 791-3950

Fax: (434) 799-2628

Crisis Line: (434) 791-3950

Email: antwadams.tis@gmail.com

 

Family Therapeutic Services

 

1210 Progressive Dr.

Chesapeake, VA 23320 

Phone: (757) 410-0382

Fax: (757) 410-0386

Email: aadams.tis@gmail.com

 

 

Or use our contact form.

Office Hours

9am-5pm Monday-Friday EST