Make a Referral Are you referring a client or loved one? Fill out some info and we will be in touch shortly! Client Name * First Name Last Name Referral Source Name & Agency Referral Source Phone and/or Email Client Email Client Date of Birth Client Phone * (###) ### #### Which insurance does your client have? Commercial/Private Insurance Medicaid I'm not sure Can you provide insurance name, member ID and group number (if applicable)? Who should Sun Point reach out to? Client and Referral Source Client Referral Source Preferred Date & Time of 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.
