Make a Referral Are you referring a client or loved one? Fill out some info and we will be in touch shortly! Call or Text us Today Client Name * First Name Last Name Client Phone * (###) ### #### Client Email * Referral Source Name & Agency Referral Source Phone and/or Email Enter the Primary Insurance Subscriber’s first and last name and DOB (i.e., client, parent, or spouse) Which insurance does your client have? Commercial/Private Insurance Medicaid I'm not sure Can you provide insurance name and member ID? Who should Sun Point reach out to? Client and Referral Source Client Referral Source What is the client's best availability (days and times) for ongoing sessions after their intake? Please provide any helpful information for Sun Point counseling about your client in order to help match them with the best fit therapist. Thank you for referring a client to Sun Point! We’ll be in touch soon to schedule them an intake session.
