Professional Referral Refer a Client Have someone in mind who may benefit from assessment, diagnostic clarification, or neurodivergent-affirming therapy? Use the form below to get the conversation started. A quick privacy note: Please keep your referral brief and avoid including detailed clinical records, treatment histories, or unnecessary confidential information. Additional information can be exchanged securely later if needed. About You Referring Provider Your Name * Practice / Organization Email * Phone How Can I Help? What are you referring for? ADHD Assessment Adult assessment focused on ADHD and related executive-function patterns. Autism Assessment Adult autism assessment with attention to masking, sensory patterns, and lived experience. ADHD + Autism / AuDHD For clients exploring whether both ADHD and autism may be part of the picture. Diagnostic Clarification When ADHD, autism, trauma, anxiety, or overlapping patterns are difficult to untangle. Neurodivergent-Affirming Therapy Ongoing individual therapy through Nonlinear Minds. I'm Not Sure Yet I'd like to connect first and determine the best next step. Next Step How would you like to proceed? Contact Me First Reach out to me before contacting the client. Contact My Client The client is expecting outreach from Nonlinear Minds. I'll Have Them Reach Out No direct outreach is needed. I'll give the client your information. Optional Client Contact Information Complete this section only if the client has given you permission to share their contact information. Client First Name Client Last Name Client Email Client Phone I confirm that the client has given me permission to share the information above with Nonlinear Minds Therapy and to have Nonlinear Minds contact them. A Little Context What prompted the referral? A sentence or two is plenty. Please avoid detailed clinical records or unnecessary sensitive information. One Last Question How did you hear about Nonlinear Minds? Referral Source Select an option Google Psychology Today Another Provider Professional Group / Community Social Media Previous Referral Other Send Referral → Please do not use this form for emergencies or urgent concerns. Please enable JavaScript for this form to work.