Boomerang Bills Referral Form

You’re doctors. You love referrals. So do we.

Know a fellow doctor or healthcare provider that would benefit from Boomerang Bills? For every one you send our way that signs up, we’ll give you $50. You could pay for medical school like this.

* Indicates required questions
Name of person referring the lead *
Email *
Name of medical office being referred *
Name of contact at medical office being referred *
Email or phone of contact person *
Any information that might be helpful for us to know about your referral?