Complete the form below and our system will send the following message to your database:

Hey [contact] this is [assistant name] with [your clinic]. We have a new referral program, where you can get a $100 credit for each person you refer! It's super simple, you just add a friends number, and we text them a $100 gift card:) Reply YES if you're interested!

If people respond YES to the message, they will be texted back a link where they can enter the name and phone numbers of the friends they would like to refer.