To request music therapy services for yourself or someone else, please click here to complete our brief electronic referral form.

If you need assistance with the electronic form, please contact our office via phone at (608) 799-4860 or via email at connect@lihmt.com.

Once the referral is received, our team will reach out to discuss available services and the next steps in getting started. If you have questions about services and want to book a phone call with our team, you can access our team’s booking widget (https://lihmt.intakeq.com/booking) to reserve a time for this conversation. If you have additional questions about availability or are having difficulty scheduling, please let us know.

Note: All information provided in this form will be kept confidential and will be used for the purpose of service coordination only. This form is created through IntakeQ, a HIPAA compliant, web-based client management system used by our team to streamline our service delivery and coordination.