Please complete the questionnaire form below to help our front office staff provide you with a referral that will best suit your needs.
*This is not the initial intake form, please fill this questionnaire out for initial interest only.
Questionnaire
*This is not the initial intake form, please fill this questionnaire out for initial interest only.
Keep up to date with CER’s upcoming seminars and newsletters.
Except as provided by law, CER does not decline to provide services to people based upon protected status including, but not limited to, sex, race, color, religion, ancestry, national origin, disability, medical condition, genetic information, marital status, or sexual orientation.