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Refer a Client to Tanager Place

When your clients need additional support, Tanager Place is here to help. We serve children, teens, young adults and families as they navigate the many stressors of the world today. Our expertise and specialty trainings offer a wide range of approaches and we’ll join alongside you to create solutions to enhance wellness. We currently offer virtual and in-person services out of our Cedar Rapids and Coralville locations.

Together, we can help clients find wellness. We’re to help with a variety of needs including:

  • ADHD
  • Adjustment Needs
  • Anxiety
  • Autism
  • Attachment
  • Depression
  • Family Conflict
  • Managing Stressors
  • Social Development

Referring clients to Tanager Place services is a simple and easy process. For Outpatient Services, please complete the Outpatient Referral Form form below. Those interested in Inpatient Services are encouraged to complete the Inpatient Referral Form. By providing preliminary information, we can best determine which treatment option is the best fit.

We are happy to answer referral questions. Please contact us at:

Cedar Rapids: (319) 286-4545 or therapyreferral@tanagerplace.org

Coralville: (319) 286-4520 or CoralvilleBHC@tanagerplace.org

 

Outpatient Referral Form

If you prefer, a PDF version of this form is available for download.

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Providing an email address, if available, helps us connect you to needed services as efficiently as possible.
  • Recommended/Requested Services

  • Please include information about current symptoms, behaviors, functioning and trauma
  • Insurance & Documentation

    Please attach copy of insurance card and ABA documentation, if applicable, in upload section below. Insurance verification required before appointment. Tanager Place is unable to accept Medicare insurance at this time. Private pay rates are available for insurances out of network. While insurance information is not required as part of this form, providing it now will expedite the path to treatment.
  • Date Format: MM slash DD slash YYYY
  • Drop files here or
    Accepted file types: jpg, pdf, png, gif.
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