Refer a Friend

*YOU COULD RECEIVE $50 FOR EACH QUALIFIED REFERRAL*
How It Works

Tell your friend about Health Research of Hampton Roads (HRHR)!

  • If your friend is interested, please complete the form to the right or the download form below and return it to HRHR
  • Via email: info@hrhr-inc.com, via our website: www.hrhr-inc.com, in-person to the address above OR
  • Have your friend give us a call, but make sure they say who referred them – full name, please!
  • If your friend qualifies for the study in which they screen, you will receive $50.
The Details
  • Payment for qualified referrals will be made within 30 days of the completed qualifying visit.
  • You must be listed in our database to receive payment.
  • Qualified referrals are considered those who have not participated in or screened for any research studies with HRHR within the last 2 years prior to the referral screening visit.
  • Eligibility for the Refer-A-Friend payment will be determined by HRHR.
  • HRHR may change, modify, or terminate this program at any time, without notice.
    There is NO limit to the number of people you can refer.
Options

Complete electronically with the form below, OR download the PDF document, print it, fill it out and drop it off in person.

DOWNLOAD FORMS  FILL OUT ONLINE FORM

Please fill out all required fields.*