Healthcare Patient Referral

Chronic Disease Self-Management Education Class

Referral Fax Form: Chronic Disease Self Management Education

Educational Flyer: CDSME Flyer

Register By Phone: 940-761-7699

CDSME Healthcare Patient Referral Form

Fill out this form and your patient will be contacted by one of our facilitators about our upcoming class schedule. Thank you for helping your patient take another step into improving their health and chronic disease!

Diabetes Education Class

Referral Fax Form: Diabetes Education Class

Educational Flyer: DEEP Flyer

Register By Phone: 940-761-7975

Diabetes Healthcare Patient Referral Form

Fill out this form and your patient will be contacted by one of our facilitators about our upcoming class schedule. Thank you for helping your patient take another step into improving their health and journey with diabetes!

Smoking Cessation Education Class

Referral Fax Form: Smoking Cessation Education

Register By Phone: 940-761-7975

Smoking Cessation Education Class Referral Form

To register your patient, fill out form below and they will be contacted by one of our facilitators about our upcoming class schedule. Thank you for taking action to improve your patients' health!