Refer a Client
We welcome referrals from schools, pediatricians, hospitals, mental health professionals, and concerned families. Our intake process is simple, warm, and efficient.
F O R P R O V I D E R S & F A M I L I E S
How to Submit a Referral
Submitting a referral to Kairova Wellness Center is straightforward. Please complete the form with as much detail as possible so our intake team can prepare the right support for your client or child.
📋Step 1: Complete the referral form below with client information and the presenting concerns.
📎Step 2: Upload any supporting documents (e.g. prior evaluations, school records, medical notes).
📞Step 3: Our intake team will contact you within 2 business days to confirm receipt and next steps.
📧For urgent referrals, contact us directly at intake@kairovawellness.com or call (470) 202-0415.
🔒 Confidentiality Notice
All referral information is handled in strict accordance with HIPAA regulations. Client information is securely stored and only accessible to authorized clinical staff.
Kairova Wellness
Center
© 2025. All rights reserved.
Compassionate, high-quality mental health care for children and adolescents. A safe space where young voices are heard and young minds are empowered.
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