FORMS

Client Referral Form

Please click HERE to submit a referral request. Fill out the form as completely as possible and we will reach out to you within 2 business days. 

** If you would prefer a paper form you may click HERE to download, complete, and then email it back to officeadmin@centerforcreativityandhealing.com*

HIPAA Notice of Privacy Practices

Please click HERE to view/download a copy of our privacy policies for your records.

Authorization to Release Information

Please click HERE to submit an Authorization to Release Information form. Fill out the form as completely as possible.

** If you would prefer a paper form you may click HERE to download, complete, and then email it back to officeadmin@centerforcreativityandhealing.com*

CONTACT

The Center for Creativity & Healing

4728-C Park Rd.

Charlotte, NC 28209

Emailofficeadmin@centerforcreativityandhealing.com

Phone: (704) 523-5567

** Please use ext. 5 for scheduling & inquires. **​​

Office Hours

Melissa Lloyd, Office Administration:

    Monday - Thursday 10:00-1:00
             

Maria Curran:

Monday: 10:30-5:30

Tuesday 11:30-6:00

Wednesday 12:00-6:30

Thursday 10:30-5:30

Melissa Lloyd, Counseling Intern:

Monday - Wednesday 1:00-6:00

For questions and inquires please fill out the form below and we will be in touch with you as soon as possible. 

You may also call or email us directly.  Thanks!

© 2018, The Center For Creativity & Healing. All Rights Reserved.