Submit Referral Online
To submit a referral online Please select from the following:
Adult Referral
If you are an adult submitting a referral for yourself please complete the adult referral here.
My practice utilizes a fully electronic system for all initial new client paperwork, including required signatures. Please note that completing these documents electronically is a requirement to begin services. By confirming your referral, you acknowledge and agree to this electronic process.
Minor Referral
If you are submitting a referral for a minor please complete the minor referral here.
My practice utilizes a fully electronic system for all initial new client paperwork, including required signatures. Please note that completing these documents electronically is a requirement to begin services. By confirming your referral, you acknowledge and agree to this electronic process.
Notification List For New Client Openings
Due to the high volume of referrals received, the office of Dr. Ruthie Norman LICSW LLC does not keep a waitlist. If you would like to receive a notification updating you when a new client slot opens-please complete the notification form below to be added to this list. When a new opening becomes available you will receive a notification with next steps