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General Referral

To refer clients, use our Referral Form (pdf) and fax it to (480) 649-3358, or fill in the form below and click the Submit button to have it emailed to SAGE. Please have your client complete and sign our Release of Information Form (pdf) and fax it to our office. Or fax us your own authorization form. You can also call us directly at (480) 649-3352.


  • REQUESTED ASSESSMENT
  • Screening - Clinical staff will determine the necessity and level of treatment. If there are treatment recommendations or specific requirements, please explain in the comments box. Please fax court orders to (480) 649-3358 attention referrals.

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