Make a Referral

Do you know someone who could benefit from one of Juniper’s health promotion classes? Whether you are a friend, a relative, or a health professional, it’s easy to make a referral. When you refer someone to one of Juniper's classes, they will be contacted by a representative in their area within three business days. The representative will help them find a class that best fits their needs.

Please fill out the form completely. For more information about Juniper classes, please call us toll free at 1-855-215-2174.


Information of Person Being Referred

Referrer Information

I have read the Juniper Privacy Policy and Terms of Use and I have obtained consent from the person I am referring to submit this referral on their behalf.