Referring a Client

We know it’s important for you to easily and confidently send your clients to us, so we’ve created a variety of ways to refer a client. Choose the one that best fits your business practices. The more information you can fill out, the faster we can get your client into services.

Referring a Client

You or your client can complete the form below.

EOSIS Screening Form

Download a screening form that your client can fill out. Fax the form to 952 679 5408 or email to accessteam@eosisrecovery.com.

Upload your own assessment

Call or have your client call our Access Team at 952 843 4149 and we’ll walk through the assessment over the phone.

Referring a Client

An Intake team member will follow up with you shortly.

Referent Contact
Client’s Name
Client's Name
First Name
Last Name

Maximum file size: 52.43MB

Maximum file size: 52.43MB