Referral Program

Learn More About Our Program

At Lifetime Hearing Services, the highest compliment our patients can give us is the referral of their friends and family!

It's Easy to be a Referral Star!

Enter your referral's information along with your own on the form below and we will take care of the rest. Our team will reach out and get them scheduled for their FREE Adult Hearing Screening. When they complete their free hearing screening, we will send you your gift card for a free lunch!


Referral Program

  • Referral Information (Who Needs the Hearing Screening)

    Enter the information for the person you are referring
  • Your Information

    Enter your information here so we know how to get you your gift card!

"Helping people with hearing loss is not just my profession,
it's my passion" - Dr. Lesley Kirby