For Courts, Probation Departments, Attorneys, and Referral Partners

Judicial Referral

Courts, probation departments, attorneys, treatment providers, and other authorized referral sources may use this form to refer an individual to the Texas Drug Offender Education Program.

Submitting a referral does not complete the participant’s registration. The referred individual will receive instructions to select an available class, complete registration, and submit payment.

Referral Source Information

Participant Information

Referral Information

Authorization

Information you submit is stored securely and used only for program administration.