1
Referral Notebook
Student’s Name
Institutional Affiliation
Course Name
Instructor’s Name
Submission Date
Referral Notebook
1.
Name: John Doe Counseling Services
Contact: (555) 123-4567
Affiliation: Non-denominational
Expertise: Individual and family counseling, grief counseling
2.
Name: Grace Christian Counseling Center
Contact: (555) 987-6543
Affiliation: Christian
Expertise: Marriage counseling, addiction counseling
3.
Name: Hope Counseling Services
Contact: (555) 321-7890
Affiliation: Non-denominational
Expertise: Depression and anxiety counseling, trauma therapy
4.
Name: Renewal Counseling
Contact: (555) 876-5432
Affiliation: Christian
Expertise: Child and adolescent counseling, play therapy
5.
Name: Minnesota Family Therapy
Contact: (555) 234-5678
Affiliation: Non-denominational
Expertise: Family systems therapy, parenting support
6.
Name: Faithful Hearts Counseling
Contact: (555) 765-4321
Affiliation: Christian
Expertise: Pre-marital counseling, spiritual direction
7.
Name: Wellness Counseling Center
Contact: (555) 543-7890
Affiliation: Non-denominational
Expertise: LGBTQ+ affirming counseling, identity exploration
8.
Name: Peaceful Pathways Counseling
Contact: (555) 345-6789
Affiliation: Christian
Expertise: Trauma-informed care, EMDR therapy
9.
Name: Harmony Counseling Services
Contact: (555) 678-9012
Affiliation: Non-denominational
Expertise: Anger management, stress reduction
10.
Name: Healing Hope Counseling
Contact: (555) 890-1234
Affiliation: Christian
Expertise: Postpartum depression support, women’s issues
11.
Name: Twin Cities Therapy Associates
Contact: (555) 432-1098
Affiliation: Non-denominational
Expertise: Cognitive-behavioral therapy, solution-focused therapy
12.
Name: Living Waters Counseling
Contact: (555) 901-2345
Affiliation: Christian
Expertise: Addiction recovery support, faith-based counseling
13.
Name: Serenity Counseling Center
Contact: (555) 678-3456
Affiliation: Non-denominational
Expertise: Eating disorder treatment, body image therapy
14.
Name: True Vine Christian Counseling
Contact: (555) 234-5678
Affiliation: Christian
Expertise: Biblical counseling, spiritual growth
15.
Name: Safe Haven Abuse Shelter
Contact: (555) 456-7890
Affiliation: Non-denominational
Expertise: Domestic violence and abuse intervention
Mandatory
Reporting Statement
As mandated reporters, it is our legal obligation to report any suspected cases of child abuse or neglect to the appropriate authorities. This includes instances where there is reasonable cause to believe that a child is being harmed or is at risk of harm, regardless of whether the information was obtained in the context of counseling sessions. Failure to report may result in legal consequences and jeopardize the safety and well-being of vulnerable individuals.