Refer a healthcare professional & get rewarded For each successful referral you submit, you can earn between R1 000 and R4 000* "*" indicates required fields Step 1 Who are you? Step 2 Your contact details Step 3 Your referral’s details I am :*a Healthbridge clienta Healthbridge employeea Healthbridge channel partneran external person Step 1 Who are you? Step 2 Your contact details Step 3 Your referral’s details Your name:* Your business's name:* Your practice number: Your company name:* Your contact number* Email* I am:A medical professionalAn administratorOtherWhat division are you in:*HealthbridgeSureswipeTradebridgeDCM Step 1 Who are you? Step 2 Your contact details Step 3 Your referral’s details Their practice name:* Their practice number: Contact number we can reach them on:* Their email address: The region they're based in:*Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern CapeSpeciality:*General practitionerSpecialistAllied professionalOptometristDentistOtherHave you got any more helpful info for us?By ticking this box, you confirm that the healthcare professional you are referring, has been informed that we will be contacting them.* By ticking this box, you confirm that the healthcare professional you are referring, has been informed that we will be contacting them. *For full programme details & terms & conditions, click here.