Refer a friend - Headlands Research

Be a Friend and Refer Your Friend!

The Refer a Friend program gives you an opportunity to help make a better tomorrow for people with incurable illnesses or conditions. This program allows you to refer family or friends to participate in clinical research trials and earn a referral bonus in the process. Here are two ways you can become part of our Referral Family.

Rules and Restrictions

All referrals must be new to Headlands Research. Referrals will be reviewed by Headlands Research staff to determine eligibility.
The friend or family member who is referred must provide the Referer's name and phone number for the Referer to qualify for the referral bonus.
The friend or family member referred must pass screening and be eligible for a clinical research study.
You may not advertise to get referrals. Any participant that advertises will be removed from the referral program and will not be eligible to receive the referral bonus.
Headlands Research reserves the right to change or remove the refer a friend program at any time.

Referral Form

"*" indicates required fields

Your Information

Name*

First Middle Last

Phone*

E-mail*

Referral's Information

The information provided is how we will contact your referral.

Referral's Name*

First Middle Last

Referral's Phone*

Referral's E-mail*

Study Being Referred For*

Has your referral been notified?*

Yes

No

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