Our Online Referral system is a secure, HIPAA compliant system that will let you send a secure online referral to the Sober Notes Addictions Counseling office. Anything that is marked with a red asterisk is required.

 

Before submitting your referral, you will have a chance to review it at the very end. The referral will be securely sent and a staff member will follow up with you.

 

If you are having difficulty using the online referral form or have any questions on how it works or its security, please use the contact us form page. IT staff will follow up with you regarding your inquiry.