ABOUT
SERVICES
OUR TEAM
GET STARTED
CONTACT
PRIVACY POLICY
JOIN OUR TEAM
PATIENT PORTAL
Make a Referral
By submitting the form below, you acknowledge that you have authorization to make a referral and have submitted proper releases to MTSCW.
Please complete the form below to refer an individual you feel would benefit from music therapy. In addition to self referrals, we accept referrals from parent/guardian, service coordinator/case manager/consultant, teacher, and other therapies (OT, PT, SLP, etc). A member of our team will contact you prior to reaching out to other parties to ensure that we have all required information.
PLEASE NOTE: If MTSCW has not received proper releases, we cannot follow through with the request.
REFERRAL FORM
COMMUNICATION
You decide how to communicate with your Provider outside of your sessions. You have several options:
Texting/Email
Texting and email are not secure methods of communication and should not be used to communicate personal information. You may choose to receive appointment reminders via text message or email. You should carefully consider who may have access to your text messages or emails before choosing to communicate via either method.
Secure Communication
Secure communications are the best way to communicate personal information, though no method is entirely without risk. Your Provider will discuss options available to you. If you decide to be contacted via non-secure methods, your Provider will document this in your record.
Social Media/Review Websites
If you try to communicate with your Provider via these methods, they will not respond. This includes any form of friend or contact request, @mention, direct message, wall post, and so on. This is to protect your confidentiality and ensure appropriate boundaries in therapy.
Your provider may publish content on various social media websites or blogs. There is no expectation that you will follow, comment on, or otherwise engage with any content. If you do choose to follow your Provider on any platform, they will not follow you back.
No Sharing of Information
Your phone number and SMS consent will not be shared with any third parties or affiliates for marketing purposes. We value your privacy and will only use your information for the intended healthcare communications.
Opt-Out Options
You can opt out of receiving SMS messages at any time by replying with “STOP” or change other communication methods at any time by speaking with your Provider or contacting us at
Music Therapy Services of Central Wisconsin, LLC
2815 Post Road
Stevens Point, WI 54481
715-204-4101
scheduling@mtscw.com
Data Security
We take the security of your information seriously. We implement appropriate measures to safeguard your personal information against unauthorized access and disclosure.
Limitations
While we strive to protect your information, please be aware that SMS and email are not completely secure. Do not include sensitive information, such as social security numbers or detailed health information, in these communications.
Acknowledgment
By providing your phone number and consenting to SMS communications, you acknowledge that you understand and agree to this policy.
Contact Us
If you have questions or concerns about your communications with us, please contact us at
Music Therapy Services of Central Wisconsin, LLC
2815 Post Road
Stevens Point, WI 54481
715-204-4101
scheduling@mtscw.com