You can call us at 320-679-6964, as a growing company, we are not always able to answer the phone, please be sure to leave a message, and your call will be returned in a timely manner.  You can also send us an email at lori@lovethejourneymn.com  You can also send a referral form to us via fax at 320-679-8183 or email it to us as well. 

 

Referral Form

 

Love the Journey

23 Pine St N

Mora, MN 55051

320-679-6964 (phone)

320-679-8183 (fax)

lori@lovethejourneymn.com

 

 

Date:

Name:

Company:

Phone number:

Paients’ name:  ___________________________________________________________

DOB:                    ___________________________________________________________

Insurance:          ___________________________________________________________

Phone number:  __________________________________________________________

Address:              ___________________________________________________________

Reason for referral: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

 

 

Please fax 320-679-8183 or email form lori@lovethejourneymn.com

counseling, therapy, family therapy, couple therapy, mental health, christian counseling, marriage counseling