I understand that by submitting this online form my information will be sent via secure email to the LynLake Referrals Specialist Team. The Referrals Specialists will review my information and attempt to match me with a provider within 3-4 business days. My personal/demographic information, presenting concerns, and general appointment/provider request will otherwise be treated as confidential and private. I understand I can reach out to referrals@therapy-mn.com with questions.

Privacy policy: No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

SMS disclaimer: By providing a telephone number and submitting the form, you are consenting to be contacted by SMS text message (our message frequency may vary). Message & data rates may apply. Reply STOP to opt-out of further messaging. Reply HELP for more information. See our Privacy Policy.

I understand that by submitting this online form my information will be sent via secure email to the LynLake Referrals Specialist Team. The Referrals Specialists will review my information and attempt to match me with a provider within 5-7 business days. My personal/demographic information, presenting concerns, and general appointment/provider request will otherwise be treated as confidential and private. I understand I can reach out to referrals@therapy-mn.com with questions.

Privacy policy: No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

SMS disclaimer: By providing a telephone number and submitting the form, you are consenting to be contacted by SMS text message (our message frequency may vary). Message & data rates may apply. Reply STOP to opt-out of further messaging. Reply HELP for more information. See our Privacy Policy.

I understand that by submitting this online form my information will be sent via secure email to the LynLake Referrals Specialist Team. The Referrals Specialists will review my information and attempt to match me with a provider within 5-7 business days. My personal/demographic information, presenting concerns, and general appointment/provider request will otherwise be treated as confidential and private. I understand I can reach out to referrals@therapy-mn.com with questions.

Privacy policy: No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

SMS disclaimer: By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message (our message frequency may vary). Message & data rates may apply. Reply STOP to opt-out of further messaging. Reply HELP for more information. See our Privacy Policy.

I understand that by submitting this online form my information will be sent via secure email to the LynLake Referrals Specialist Team. The Referrals Specialists will review my information and attempt to match me with a provider within 5-7 business days. My personal/demographic information, presenting concerns, and general appointment/provider request will otherwise be treated as confidential and private. I understand I can reach out to referrals@therapy-mn.com with questions.

Privacy policy: No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

SMS disclaimer: By providing a telephone number and submitting the form, you are consenting to be contacted by SMS text message (our message frequency may vary). Message & data rates may apply. Reply STOP to opt-out of further messaging. Reply HELP for more information. See our Privacy Policy.