Appointment Confirmation, Appointment Reminders

EARN EXTRA CASH!

Doctor Dial offers a $100.00 incentive for any referrals that become new Doctor Dial clients. There is no limit to how many referrals that you can submit. If you are currently a Doctor Dial client, and you have a friend or colleague that you think will benefit from using Doctor Dial like you are, we will compensate you with your choice of $100.00 in cash or $100 credit on your next Doctor Dial statement or $100.00 prepaid tab to the restaurant of club of your choice.

Send a copy of the flyer to your friends...

Print a Referral Reward Flyer
Email a Referral Reward Flyer

Have your referrals mention your name on signup.

REFERRAL FORM

Practice Name:
Specialty:
Manager's Name:
Manager's Phone:	- -
Manager's Email:

EMR Used:

Best Time to Call:

REFERRED BY:


Your Name:
Your Email:
Your Dr Dial Acct. #:
Your Rep Code:
Reward:	Restaurant / Bar Tab Bill Credit Cash

I understand that my choice of referral reward will be awarded to me upon payment of the first months invoice from my referral.