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Register now to our Referral Program &

Earn $50

per qualified referral.

Make a difference in advancing medicine by referring a friend or family member today.
If you are a current patient, or even if you have never participated in a Revival Research Clinical Trial, you can get the chance to earn $50 per qualified referral.

Become A ReferrerQualification Criteria

Referral Form













User Agreement*


How to become a Referrer

  1. Register in the Referral Program using the form
  2. Save the Referral ID given to you upon form completion
  3. Share the Referral code to your friends and family
  4. Make sure the people you refer use your Referral ID while registering for the study

Referral Qualification Criteria

  1. Participants must register via website or mention your actual referral ID during screening for the study
  2. Participant must complete the screening visit to qualify as a referral
  3. Referral must not have participated in any study with Revival Research Institute in the past 12 months

*Referral gift cards are generally given out within 30 days of completion of screening visit

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