New Client Referral Program Form

Learn how you can earn extra credit towards your account below.

New Client Referral Program Form

We sincerely appreciate when you show your trust in our hospital by referring a family member, your friends, and your neighbors. Your referral is the sincerest form of compliment. We want to say thank you for that trust and give back to you and your referred friends. For each referral that becomes a new client, you will receive a $15.00 credit to your account, and your referred friend will also receive $15.00 off their first appointment. If you have any questions, call 603-441-5776 or email staff@pkamc.com