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Refer a Friend

At AltaMed, we’re committed to getting quality health care to the people who need it most. It’s why we first opened our doors more than 40 years ago. Today, there are still people in our community who need health care and we’re here to help. You can even help someone get health care when they are most in need. Maybe it’s your cousin, your neighbor, or someone at your church or school.

It’s easy!

Fill out the referral form below with the contact information for your friend or family member. Please include your name so we can let them know who referred them. We will contact them within the next 2 business days.

Thank you for helping AltaMed help our communities!


Fields Marked with a * are required
* Your First Name
* Your Last Name
* Your Friend's First Name
* Your Friend's Last Name
Friend's Address
Friend's City, State, Zip
* Friend's Phone
* Friend's Email
Best time to contact your friend

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