Refer A Friend

If you know someone who is in need of hearing help, please become one of our Hearing Ambassadors by filling out the form in full below. 
We will then contact your referral to set them up for their Free Hearing Screening.



Full Name of Person to be Tested



Phone Number

Your Full Name

Phone Number

I acknowledge that the above referral has consented to being contacted by Michigan Hearing, LLC to schedule a Free Hearing Screening.

Disclaimers: referral card must be filled out in full; cannot be combined with previous purchases; $250 will be paid out after the referral’s 45-day adjustment period; Ask a Michigan Hearing, LLC professional for details. Terms and Conditions may apply.