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Therapist Referral Form

Are you a therapist who specializes in adoption trauma? Would you like to be included on our referral list for those seeking therapists with an adoption competency? If so, please complete this short form and we will be in touch. Thank you!

At On Your Feet Foundation, we work to connect our clients with adoption-competent therapists. In particular, we are looking for therapists who have experience working with birthparents. Your information will not be published and we will reach out to you first before making a referral.

Request to be added to Therapist Referral List

First Name *
Last Name *
Do you offer sessions via Telehealth?
Address Line 1 *
City *
State/Province *
Postal Code *

Additional Details

Thank you for recognizing the importance of post-placement support: