Stop Losing Referrals
Before They Reach Your Office

Add a branded referral link to your website so GPs can refer in seconds — no logins, no friction, HIPAA compliant.

For dental specialists · Free 30-day trial · Cancel anytime

How It Works

Up and Running in Minutes

1

Create your referral form

Sign up and customize your referral form. Add your logo, choose the fields you need, set your preferences. Takes about 10 minutes.

2

Share it with referring offices

Send them your link. Put it on your website. They fill it out when they need to refer a patient to you.

3

Patient gets referral details via text

After GP submits, patient automatically gets a text with the referral details and your contact information.

4

You receive the referral

Email notification with the referral. View everything online, then generate a PDF for your patient's chart.

Ready to Build Your Form?

Create your custom referral link in about 10 minutes. Add your branding, choose your fields, and start receiving organized referrals today.

Create Your Form

Best experienced on desktop

Benefits

Why Specialists Choose Refera

Get Complete Information

Receive referrals with all the details you need—x-rays, medical history, clear reason for referral. No more "can you resend that?"

Zero Friction for GPs

Referring doctors don't need accounts or training. They just click your link, fill out the form, and hit submit. Takes 2 minutes.

Automatic Notifications

Referring doctors know their referral was received — no follow-up calls needed.

HIPAA Compliant

Fully encrypted and secure. Complete audit trails. BAA included. Stop managing referrals via insecure email.

Works Everywhere

Desktop, tablet, mobile—your form works on any device. No apps to download. No software to install.

Track Everything

See all your referrals in one dashboard. Search by patient or referring doctor. Export reports. Stay organized.

Testimonials

What Doctors Are Saying

"Sending patients to my periodontist used to involve phone calls, faxes, and way too much follow-up. Now I just use their website link — it takes 30 seconds, and I know the referral gets handled. It's streamlined, secure, and my patients love how fast things move."

Dr. Camille Corvera-Galang
Dr. Camille Corvera-Galang
General Dentist

"Our old referral form looked like a tax return — GPs avoided it, and we wasted hours chasing paperwork. Now, with our custom link on the website, referrals just show up complete. No logins, no faxing, no x-ray chasing. It's streamlined and stress-free."

Dr. Rowshan Ahani
Dr. Rowshan Ahani
Endodontist
Pricing

Simple, Transparent Pricing

Everything you need to manage referrals professionally

$99/mo

30-day free trial. Cancel anytime.

Custom referral form with your branding
Unlimited referrals
Unlimited storage
Email notifications
Mobile access
HIPAA compliance & BAA
Get Started for Free

Best experienced on desktop

Prefer to Set This Up Together?

Book a free 15-minute setup call. We'll customize your referral link, walk you through how it works, and get it live on your website.

Book Your Free Setup Call

We handle the setup — you just show up.