Referral Form » ReCourse Life "Bona fide drug and alcohol education courses as described in DOT Rule 49 CFR Part 40 Section 40.293. Designed to meet legal, professional and personal requirements

Make Referrals with Ease and Accuracy

Enter your email and your referral’s name and email.
Pick the category and course for your referral.
NEW Repeat to add multiple courses
Preview/edit when it looks good, hit send.

What to Expect

Both you and the referral will get a copy with customized enrollment link(s) that select the assigned course(s) and you as the referring counselor. This, of course, reduces the opportunity for mistakes and ensures a seamless experience.

Embeddable Links

Generate one or more custom embeddable links by selecting “EMBED” once your selections are made. From there, click “copy” to obtain the code, ready to be integrated into your website.

Please be aware that you can include additional provider options in edit mode. However, as of June 1, 2023, DOT SAP Guidelines do not require you to do so. Reference: The Substance Abuse Professional Guidelines, “THE REFERRAL PROCESS” page 10

Digital Referral Form

Your Email: Referral Name: Referral’s Email address or Cell Phone to text: Course Category:

Course Name(s):

By sending this form, you confirm that the recipient has given consent to receive messages as outlined in our Consent Policy.