Fill out the form below and we will be in touch. A referral agent agreement is a contract between a referring party and the referred party which sets the terms of their relationship.Submit Your Referral for Care. Fill out the referral form below. Referring a person to Phoenix House Florida for substance use disorder treatment is a simple, efficient process. A referralbased business model can benefit both the referring agent and the client. Welcome, entrepreneur friend! Please talk to them directly about completing a referral form for you. Want to work with us? Referral party's pay period.