Referral Script Form

Header Info  |  Format Info

 

Our LactForms Referral Script forms are a highly effective marketing tool for marketing your services to local doctors and health care providers.  Formatted like a prescription pad with your practice information as a header, it includes space for the parent and child’s names with checkboxes for common presenting issues. 

Available in printable format only, ideal for tear-off pads to distribute to local healthcare offices to market your practice.  They're perfect to hand out to your local pediatric and OB/GYN medical practices, and usually work much better than stacks of your business cards that often end up jumbled up with other specialists' cards in a forgotten area of provider offices.  Experienced private-practice LCs have been using this marketing idea for decades now, often recommending it to colleagues as the main source of their doctor referrals and a quick way to increase business.  

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NOTE: THE BLUE SAMPLE IMAGE SHOWS THE NEW 6.0 DESIGN, ESTIMATED RELEASE BY MARCH 31, 2024.  ALL PURCHASES WILL BE UPGRADED TO THE NEW DESIGN AUTOMATICALLY AT NO COST.