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Referral Partner Registration

Register as a referral partner to streamline student referrals and receive enrollment updates for the individuals you refer to our programs.

Welcome!

After completing this simple registration form, our team can work with you to facilitate student referrals and provide enrollment verification when appropriate. We appreciate the opportunity to partner with counselors, attorneys, caseworkers, probation officers, employers, and educational professionals throughout the community.

Thank you in advance for your referrals and we look forward to working with you.

If you are looking to enroll as a student, please visit our course registration page instead.

Organization Information
Street Address
Reason for Referring Students
Primary Contact Person

You may add additional contacts later if needed.

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Additional Information

How would you like us to communicate regarding referrals?

Working With Referral Partners

Eden Behavioral Services regularly works with:
 

  • Attorneys

  • Counselors

  • Probation Officers

  • Case Managers

  • Social Workers

  • Employers

  • Educational Institutions
     

Our goal is to make referrals simple while helping students successfully complete their required programs.

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