• Complete the top portion of the form with your name, your friend or family member’s name and return it to our clinic.
• Write your name on the bottom part of the referral card and give it to your friend or family member. Ask him/her to contact our clinic to set up a hearing assessment appointment and bring the bottom part of the referral card to the appointment.
• This offer is valid once your referred friend has completed a hearing assessment
Program Terms & Conditions
Terms & Conditions: The Professional Hearing Services: Refer a Friend Program is open to all customers of our clinic. Certain restrictions apply. Professional Hearing Services reserves the right at its sole discretion to, without notice, terminate or suspend the Program, in whole or in part, or modify it in any way. We respect your privacy. All personal information you provide to us will be used exclusively for the administration of this Program and for no other purpose. For full Terms and Conditions, ask your clinic representative.
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