Refer a Friend

At Renstar Medical Research, we believe word of mouth from our participants is a compliment to our work and the study care we give.

Rules

The person you refer must be new to Renstar Medical Research
If you know someone that may be interested in study participation, please have them call (352) 629-5800 or complete the form on this page.
The person you refer must provide your name and phone number for you to receive the referral credit
To receive your appreciation gift of $55, the person you refer must be eligible and complete screening

Program Disclaimer:
This program is intended for the referral of friends and family members only. Eligibility will be determined by Renstar Medical Research. Renstar Medical Research reserves the right to revise or eliminate this referral program at any time without notice.

About You

First Name(Required)

Last Name*(Required)

Address 1(Required)

Address 2

City(Required)

State(Required)

Zip(Required)

Email(Required)

Phone(Required)

*Indicated required field.

About The
Person You’re Referring

Their First Name(Required)

Their Last Name(Required)

Their Email Address(Required)

Their Phone Number(Required)

Which Study?(Required)

*Indicated required field.

Refer a Friend

Rules

About You

About The Person You’re Referring

About The
Person You’re Referring