230 North Limestone, Suite 100 Lexington, Kentucky 40507
(859) 303-8041 office@heatherriskandassociates.com

Referral Form for an Adult

If you would like to refer yourself or another adult, please complete the information below. This information will help Heather Risk, PsyD & Associates, PLLC in ensuring you needs are met. After receiving the following information, we will contact you to discuss any questions and take the next steps to beginning services.

Emergency Contact Information

Who can we contact in case of an emergency?