Referring Customers Only

Please complete the required fields and attach the Release of Information (ROI). Referrals are typically processed within 1-2 business days. If you would like to use your own referral form, please submit the referral to Thank you.

Referral Form

If your referral would like to prepay for services at SAGE, please have your referral contact SAGE at (480) 649-3352 or visit our online payment page, here.

If you have questions about submitting a referral please contact SAGE Counseling at (480) 649-3352. If you have technical issues in the process of submitting a referral please, contact SAGE IT at (602) 761-4920 or by emailing us at