Lifeworks Referral Form

Use our general referral form below to inquire about our programs.


If you want more information regarding any of our programs or have questions, please fill out the form below and we’ll get back to you as soon as we can!

If you’d rather talk to a Lifeworks representative, feel free to call 651-454-2732 or 1-866-454-2732 and we’ll happily assist you.