Monarch Therapeutic Services, LLC Transforms Distress Into Hope
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  • Forms
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  • Referrals
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  • 2022 Conscious Life Focus Planner & Journal
  • Store
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Monarch Therapeutic Services, LLC

Referral Form
NOTE: Forms and documentation such as Disability, FMLA, ESA, etc. will not be filled out until the client has completed a minimum of 6 sessions with Beverly Chevalier, LCSW.
We are currently accepting referrals to our waitlist. 
​Waitlisted clients may expect to begin services in up to 4-8 weeks.
 
 

    Referral Form

    CLIENT
    REQUESTED SERVICES
    REASON FOR REFERRAL
    CLIENT'S PAYMENTS
    Payment is due at the time of service. Please indicate preferred payment method so our office may provide appropriate credentials and instructions for making your payments.  You may always change your preference later.
    REFERRAL SOURCE
    WHO ELSE WILL PARTICIPATE IN SERVICES?
    DCF INVOLVEMENT?
Submit
We are currently accepting referrals to our waitlist. 
​Waitlisted clients may expect to begin services in up to 4-8 weeks.
 ​

CONTACT

LOCATIONS & HOURS

SCHEDULING

OFFICE PHONE:  203.587.8650
OFFICE FAX:       866.881.6464

EMAIL: monarchpsychotherapy@gmail.com 

​MAILING ADDRESS:
PO Box 8101, Manchester CT 06040


NORTH HAVEN, CONNECTICUT
410 State Street, 2nd Floor left, Office #8

ADMINISTRATIVE HOURS
The office manager is available to receive and respond to calls, messages, texts, emails, and faxes
Monday - Thursday 10am - 6pm ET


CLINICAL HOURS (by appointment only)
IN-OFFICE | TELEHEALTH
Wednesday   8:00am - 7pm ET

Thursday      8:00am - 7pm ET
Schedule appointments:
​> Click button below
> Call/Text schedule line at:  203.405.0837
REQUEST APPOINTMENT
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