Currently, we are Accepting CCS Clients only in Jefferson, Rock, Walworth and Dane Counties in Wisconsin.
We also accept clients for self-pay services. We do not accept insurance at this time.
If you are interested in getting started please complete our Secure Online Referral Form:
If you prefer you can also download the PDF referral form HERE
SUBMIT your completed PDF referral:
✉️ Email to documents@magnoliatm.org
📠Fax to 608-817-3291
OR SUBMIT via our secure Paubox link below
Thank you for your interest in partnering with Magnolia Therapy & Mentoring