"Refer-a-Friend" to Orthopaedic Rehab Specialists: 
you will earn a $25 gift card... and your referred friend can earn one, too!

"REFER-A-FRIEND" Referral Form

If you have had a good experience with Orthopaedic Rehab Specialists, we hope that you will "Refer a Friend" to us who might benefit from our patient-focused care and personalized treatments. 

 Refer a Friend to Orthopaedic Rehab Specialists and earn a $25 Meijer gift card or $25 Kroger gift card. When your referred friend  completes their initial evaluation and becomes an ORS patient , you will earn a $25 card for referring them, and so will they. 

Refer a Friend to Orthopaedic Rehab Specialists and earn a $25 Meijer gift card or $25 Kroger gift card. When your referred friend completes their initial evaluation and becomes an ORS patient, you will earn a $25 card for referring them, and so will they. 

Your Name *
Your Name
Your Phone number: *
Your Phone number:
Who referred you? *
Who referred you?
Please give us the name of the person that referred you to our clinics:
East Clinic- 206 Page Ave, Jackson West Clinic- 2136 Robinson Rd. Ste 1, Jackson Total Joint and Aquatic Center- 113 S. East Ave, Jackson Foot, Ankle and Running Center- 2797 Spring Arbor Rd. Ste B, Jackson Holt Clinic- 2040 N. Aurelius Ste 5, Holt Jonesville Clinic- 865 Olds Street Ste D-4, Jonesville Napoleon Clinic- 122 Brooklyn Rd, Jackson 49201
What is the best way to reach them?
What is the best way to reach them?
If phone is the best way to reach them, what number should we use to reach out to them?

It is easy to participate in the ORS "Refer a Friend" offer:

Here are the 3 simple rules to participate:
1.
Refer a friend- tell them to fill out the contact info in the "Refer-a-Friend" form on this page.

2. Next, we will call and schedule your friend to come in for their initial evaluation.  

3. When the person that you referred becomes an ORS patient, you will earn a $25 gift card*  for your referral, and so will they.   

That's all it takes!

(Note: Referred friend must become new patient to qualify for gift cards)

Distribution info:
* $25 Gift cards will be distributed to the referrer and the new patient within 30 days after the referred friend becomes a new patient with ORS. 

Note:
*  $25 Meijer Gift Cards will be given at all Jackson, Napoleon and Holt Clinics. 
*  $25 Kroger Gift Cards will be given at the Jonesville Clinic.  

VALID AT ALL 7 ORS LOCATIONS:
East Clinic- 206 Page Avenue, Jackson
West Clinic- 2136 Robinson Rd., Jackson
Holt Clinic- 2040 N. Aurelius, Ste. 5, Holt
Jonesville Clinic- 865 Olds St., Ste D-4, Jonesville
Napoleon Clinic-122 Brooklyn Rd,Jackson
Total Joint and Aquatic Center- 113 S. East Ave., Jackson
Foot, Ankle & Running Center- 2797 Spring Arbor Rd., Ste B., Jackson