Refer a Friend Program
If you have ever participated in a study at any of our sites, you are eligible for our Refer a Friend program!
Receive up to $50 per new participant that you refer and who enrolls in an existing study.
To qualify, the person you have told about us needs to mention YOUR NAME at their first visit.
You will be contacted by your contact information in our patient database. You will not be told who enrolled or for which study.
Forms
Before beginning a new study, please complete our paperwork so we can keep our records updated.
You may complete and submit the online forms or you can download and print the pdf versions to bring with you to your first visit.
Complete all forms with as much accuracy as possible.
Patient Information Form
Health History Questionnaire
HIPAA Medical Information
Medical Records Release Request
If you want to learn more about the studies we have currently available and/or want to be added to our database to be notified of future studies, click the link below!
