Make a Referral

Do you know someone who could benefit from one of Healthy Living for ME’s health promotion workshops? Whether you are a friend, a relative, or a health professional, it’s easy to make a referral. When you refer someone to one of Healthy Living for ME's workshops, they will be contacted by a representative in their area within three business days. The representative will help them find a workshop that best fits their needs.

Please fill out the form completely. For more information about Healthy Living for ME workshops, please call us toll free at 1-800-620-6036.

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Information of Person Being Referred


Information of Person Offering the Referral

I have read the Healthy Living for ME Privacy Policy and Terms of Use and I have obtained consent from the person I am referring to submit this referral on their behalf.