Referral Referral at Nurse Lynx "*" indicates required fields Name* Phone*Email* Address* City* State* Postal/Zip Code* Referrer InformationName* Phone*Email* Client description Referral Submission: Clients and employees can refer new clients by submitting a referral form available on our website or at our office. Qualification: The referred client must sign up for our homecare services and remain a client for at least three months for the referral to qualify. Incentives: Once the referral is confirmed and the new client has met the qualification period, the referrer will receive their reward. Incentives for Clients Cash Reward: Receive $100 cash for each successful referral. Service Discount: Get a 10% discount on one month of homecare services for each successful referral. CommentsThis field is for validation purposes and should be left unchanged.