Become a Professional Partner with Center for Discovery's Dual Diagnosis Program - Dual Diagnosis Disorder help for teens at Center for Discovery & Adolescent Change

It is important to us that our patients have a quality team to go to after treatment. We look for quality Psychiatrists, Psychologists, Medical Doctors, Therapists and Dieticians across the country to refer our patients to. Simply complete the following online form and a representative from the Center for Discovery and Adolescent Change will contact you.

*Indicates a required field.

First Name *

Last Name *

Title

Business Name *

Street Address *

City *

State *

Zip Code *

Business Phone *

Alternate Phone

Fax Number

Email Address *

Web Site

Degree *

Certifications *

Years Experience *

Post Degree *

List the type(s) of therapy you use *

Select type of clients treated *

Children
Adolescents
Adults
Seniors
Families
Couples
Eating Disorders
Stubstance Abuse
Trauma

Are you interested in attending networking and training functions? *

Number of eating disordered clients treated per year *

Do you use a team to treat outpatient eating disordered clients? *

If you use a team to treat outpatient eating disordered clients, please explain.

Have you ever hospitalized a client with an eating disorder? *

If you have hospitalized a client with an eating disorder, where was it?

Do you offer support groups? *

Comments

back to top