Fill out the form below with your friend's basic information. The submitted information is 100% secure and private.
Remember to include your name so we can reward you!
A Contino® Nurse will reach out to your friend and find out if Contino could be the right solution for him!
If your friend ends up becoming a qualified patient for Contino, we will email you your reward (Tim Horton's Gift Card)!
If you are a Contino user, we will give you a discount for your next billing cycle!
