Magill Counseling Associates, LLC
Magill Counseling Associates, LLC
in Ephrata, PA Ph: 717-219-5711
providers consulting

Providers,

Welcome! At Magill Counseling Associates, LLC, we are passionate about providing the best care for our clients. That means that we place a high value on coordinating with other providers so our mutual clients get the best help possible.

With this in mind, we created this page as a resource to make referrals, requests for information, and case coordination easier.


Please note that all forms are HIPAA compliant.



Request An Appointment

Please use this form to request an appointment for a new client. If received before 2PM, we will attempt to contact the client the same day. If after 2pm, we will contact the new client either the same day or, at the latest, the following business day.  We strive to start new clients within 1 week of initially being contacted.

Request Initial Appointment

Release of Information

Please have the client complete this form so we can coordinate care with you. Alternatively, you can use the document upload form below to send us a release of information form the client signed at your organization.

Release of Information Form

Records Request

Please complete this form to request records for a mutual client. We will review the request and, if there is a release on file, send you the records in 1-2 business days.  If there is no release on file, we will contact the client and request they complete an release of information.

Record Request

Document Upload Form

Please use this form to directly send us documents you would prefer to not email, fax, etc.

Document Upload Form

Quarterly Provider Newsletter

Click the button below to sign up for our quarterly Provider Newsletter. Stay up to date with our newest groups, staff, and blog posts!

Click to Sign Up

Contact Information

Office Address: 55 New Street, Ste. i-4, Ephrata, PA 17522

Mailing Address: 108F North Reading Road #186 Ephrata, PA 17522
Phone: 717-219-5711
Fax: 717-219-5712
Email: info@magillcounseling.com