Refer a Friend | Software for Therapists

Do you have a colleague or friend that might be interested in learning about ClinicSource?

When you refer a friend to ClinicSource, your friend will get $50 for completing a consultation. And we'll give you $250 when they subscribe!

$250 for you, just for sharing the love.

Here’s how it works:

Fill out the form to tell us about you and your friend. Please be sure that your referral is a therapy professional with an active practice.

Make sure to let your friend know so they can look out for an invitation from a ClinicSource Specialist.

Once your friend schedules and completes the demo with one of our ClinicSource Specialists, they will receive a $50 eGift Card.

When your friend signs up for a ClinicSource subscription, you will receive a $250 eGift Card.

Complete the form below.

Your First and Last Name*
Your Email Address*
Your Phone Number*
Your Practice Name*
Referral First Name*
Referral Last Name*
Referral Practice Name*
Referral Email*
Referral Phone*
Referral State*
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Phone
This field is for validation purposes and should be left unchanged.

*Gift card fulfillment of $50 for referral will be completed within 30 days of demo completed. Gift card fulfillment of $250 will be completed within 30 days of the date your referral purchases a ClinicSource subscription. To be eligible for the $250 gift card, the referred must purchase a ClinicSource subscription within 30 days of their complete a demo. ClinicSource customers may refer multiple providers. ClinicSource will honor one referral per practice. Gift cards may not be used for any balance owed to ClinicSource.

Terms and Conditions
Click here for information about addressing complaints regarding our money services business, lists of our money services business licenses and other disclosures.

American Express® Gift Cards and Business Gift Cards and American Express® eGift Cards and Business eGift Cards may be used virtually anywhere in the U.S. that accept American Express Cards, except to the extent limitations on participating locations are indicated on the back of the Card. These products may not be used at ATMs or for Recurring Billing. Additional Limitations may apply. See Cardholder Agreements for complete details.

For questions about American Express Gift Cards or Business Gift Cards, you may call 1-888-846-4308, seven days per week. American Express Gift Cards, PO Box 826, Fortson, GA 31808. Cards are issued by American Express Prepaid Card Management Corporation. PCMC is licensed as a Money Transmitter by the New York State Department of Financial Services. NMLS ID# 913823

Do you have a colleague or friend that might be interested in learning about ClinicSource?

$250 for you, just for sharing the love.

Here’s how it works:

Complete the form below.

Cloud-based software designed by therapists for therapists

ClinicSource handles:

Designed for these practices: