For ACCOUNT REFERRAL: Who is the best person to connect with at the practice? What is the name and specialty of the practice? What makes ALIS Health a good fit for them?
For EMPLOYEE REFERRAL: Share the NAME of who you'd like to refer and a little bit about them/what makes them a good fit for ALIS Health.
What is the best way for us to get in touch with your referral? Please share email and/or phone number along with other relevant contact information.
How are you connected to the referral (ex: former colleague, neighbor, former client, friend, etc)