Supporting Mental Wellness in the Return-to-Work Journey

Expert Behavioral Health Referrals for Injured Workers

Ability Behavioral Health provides behavioral health intervention services and mental health services. Telehealth is offered throughout Washington State and in person in Lacey, WA.

  • We have two licensed providers.

  • Rachel Craig, LICSW, CDMS

  • Amy Eskelsen, LCSW-S, CPHQ, MBA​

Contact Form for referral

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    Behavioral Health Intervention / Mental Health Services Referral Form

    Please submit referral form and accompanying documentation to tonya@abilityvoc.com or fax to (360) 334-5545.

    Claim Type
    Referral Type
    Previous BHI Visits
    If yes, what are the approximate dates of service
    If yes, what is the previous provider’s name
    Employer
    MM slash DD slash YYYY
    Claim #
    MM slash DD slash YYYY
    Client Address
    What is your relationship to the Client? Please select from below:
    For BHI referrals, did the Attending Provider indicate approval / recommendation?
    For Mental Health referrals, has treatment been authorized?
    Conversation with client?
    Preferred Method of Treatment:
    Please note: Services requiring an interpreter are available in person only at our office in Lacey, WA.
    Is an interpreter needed?
    For the purposes of Telehealth, does the client have the technical capabilities to connect virtually? This means the client has access to a desktop or laptop with a working webcam and functioning speakers or, they have a functioning smartphone with the ability to download the Simple Practice App from the app or play store. The client must also have a reliable high speed internet connection of at least 10-15 mbps to minimize connectivity issues and provide the best quality. Please indicate yes or no below:
    Drop files here or
    Max. file size: 1 GB.