Refer a patient to Blue Circle Health
Let’s work together. Fill out this form to connect your patient to free T1D care and support.
Currently enrolling adults in these states.
What Happens Next?
After you submit the form, our Clinical Enrollment Specialist will call your patient within 1–2 business days to walk them through the enrollment process.
We’ll keep you in the loop by sending clinical notes to the referring provider listed on the form. For any questions or if you’d like to send accompanying medical records, email us at referrals@bluecirclehealth.org, call us at 888-404-4813, or fax records to us at 888-675-4061.
Let's Connect
Our Community Engagement Team would love to connect with you! Email them at connect@bluecirclehealth.org to:
- Join our monthly clinical partnership meetings for referring providers and partners
- Request digital or physical flyers and material for your patients
- Set up a time for you and your team to learn more about the Blue Circle Health program and how we can work with your organization
What do others say about our program?
“It’s been 3 months, and my life has drastically improved. I have really great insurance… I was able to get 90 days of sensors for free. I feel like I’ve been through so much and not much makes me that emotional”
Arianna
“It does sound too good to be true, but it’s going to be one of the best decisions you will make in your life. It will change everything for you.”
Christina
“When you change somebody’s life in the way they [Blue Circle Health] have changed mine…after a lot I’ve been through with diabetes, it’s priceless.”
Natalia
“I don’t know where I would be right now if I didn’t find Blue Circle Health. They picked me up when I was at one of my lowest points”
Michele