BehaviorWizards-ReferralForm

For individuals you would like to refer to our program please complete the following steps:

Step 1: Click on the DOWNLOAD FORM button. The Referral Form will open in a new window.

Step 2: Save the Referral Form to your computer and rename the pdf by including the person’s FIRST INITIAL and LAST NAME that you are referring in the file name (For example: BehaviorWizards-ReferralForm-MJones.pdf).

Step 3: Please complete form.

Step 4: Email, FAX or mail form to:

By Email:
jon.freer@behaviorwizards.com

By FAX:

320.230.3145

By Mail:

Behavior Wizards
2137 Troop Drive
Sartell, MN 56377