Friend Referral To earn your referral discount, complete the Referral Form and then give your friend a hug! Refer Your Friend! Friend Referral Your Name * First Name Last Name Your Email Your Phone (###) ### #### Who Referred You? * We'll contact your friend directly and let them know you referred us. First Name Last Name Your Friend's Email Address * Thank you for your referral! We will be contacting your referral shortly. Remember, your $25 credit will be earned after your referral's initial medication order.