The information you provide here will be used ONLY ONCE in order to deliver an email to your contact. That email will provide information about our office to someone you believe may benefit from knowing about Harriott Chiropractic and how to contact us. You should be comfortable that this contact information will NOT be incorporated into any direct marketing database or contact list. Harriott Chiropractic may contact the referred contact ONCE, unless you specify otherwise in the "Reason for Referral" section of the form. If you prefer that we not reach out, this contact information will not be retained and we will instead look forward to yoru referral's contact with our office on their own terms. Our website is intended to be spam-free. To see our privacy policies, see the Privacy Policy link link on our webpage https://rocklinchiropractic.net.
Name of the person wanting to refer to Harriott Chiropractic
This website is intended to be spam-free. To see our privacy policies, please locate link on our webpage https://rocklinchiropractic.net. The information you provide will be used only to deliver a link to you by email to easier and more convenient to refer your own contacts to Harriott Chiropractic. You should be comfortable that those contacts will NOT be incorporated into any direct marketing database or contact list. Instead, they will receive a similar email which they can choose to consider or not. Hopefully, you will read this in time to remember how/when we discussed me sending you this email... Generally, you have received it because you said I could send it to you.