Third Party Referral System

This page is for third party companies approved to work as referral sources for Hippo Manager Software, Inc.

Please follow these instructions:

Thank you for your referral.  We appreciate the partnership and will be in touch shortly!

REFERRAL FORM

Please Select Your Name/Company (required)

Your Name (first and last, required)

Your Contact Phone(required)

Your Contact Email(required)

Contact Name at Veterinary Practice (required)

Email of contact person at Veterinary Practice(required)

Contact Phone at Veterinary Practice (required)

Veterinary Practice Name (required)

Please Select The Practice Specialty Type (if applicable - select more than one) (required)

Is the practice a non-profit?

Number of Vets (required)

Veterinary Practice Address (at minimum indicate State/Province) (required)

Is the practice currently using a software provider? If so, please indicate which provider:

Will the practice need a data conversion?

Additional notes (features the clinic is looking for etc..) (required)

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