Referral Form
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