In this article, we'll share 5 Referral Program Ideas that will help you get more new patients with the recommendations of your current patients! II. Requesting Assistance Process a.If you have an agreement to pay referral fees to this consultant, yes definitely. Use these forms to get started with counseling at Tisdale Holistic Therapy and Coaching in San Antonio. We offer virtual and in-person services! This is a quick tutorial on how to write a referral agreement. Download the Referral Pad, or use your own. The Referral Authorization form is a critical document used primarily in Texas for patients requiring a referral to another healthcare provider or specialist. Fill out and sign the included enrollment form. 3. Texas RioGrande Legal Aid (LSC).