If you can not remember the exact contact information of the professional you would like to recommend, use the Google search feature to help you get all the details correct. For instance, if you can't remember the exact street address or phone number of your doctor/counselor, enter his/her name, city, and state into the Google search and review the options listed to locate and find the correct contact information for your mental health professional.

Please take care to check your recommendation carefully before submitting it the box below. Remember, your peers are counting on you to enter the information as accurately and completely as possible.