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Clinic Partnership Form

Overview: Join our in-person referral network. Clinic and specialist partners (ENT, orthopedic, diagnostics, and more) become official Awayward referral partners at no cost, receiving warm, pre-triaged patients from our clinical coordination team when in-person care is required.
Why Partner with Us?
Free Referral Stream: Receive warm, pre-triaged patient referrals from our clinical coordination team at no cost to your practice.
Stronger Leads: Every referral arrives with documentation and triage notes and high conversion.
Growing International Volume: As we expand our traveler network, partner clinics and specialists benefit from a consistent and growing source of international patients.

Clinic Name

Website

Clinic Phone Number / WhatsApp

Your Name (First and Last)

Job Title

Email

Personal Phone Number/WhatsApp

Clinic Description

Clinic Address

Specialty

Specialty