Refer & Earn

Refer Them and Earn!

Name*

Clinic Name*

Email*

Contact Number*

Are you an existing ClinicNEXT User? (required)

Yes

Name*
Name of the person you are referring

Clinic Name*
Clinic name of the person you are referring

Contact Number*
Contact number of the person you are referring

Email Address*
Email address of the person you are referring.

I accept the privacy and terms.

Appointment
Booking

Doctors
Schedule

Consultation
Management

Patient
Management

Medical Records
Reports

Pharmacy
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Billing &
Payments

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