Use this form to register a new referral to ProMed. Once you have their permission for us to contact them, just fill in their details below and we’ll let them know everything they need to know about applying to work with ProMed. And, as a thank you, we’ll send you $250 for each friend you sign up and $250 for them. It’s a win/win! You can fill this form in as many times as you like!!!!

***in order to be eligible for the $250 signing bonus your friend must successfully complete our application process that we email to them and they must complete at least one locum. We will notify you after that occurs and deposit your funds to the account we have on file.