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How the AHIA Referral Program works?

Simply refer your client to AHIA
and get paid for the sale!


To sign-up for the AHIA Referral Program you must:

1 Download our referral agreement
2 Fill out the agreement
3 Sign agreement
4 Email back to or
5 Fax back to (866) 476-0094

Referral fee schedule is outlined on the Referral Agreement.

Download Referral Agreement

After you have submitted your agreement you can use the form on this page to submit your referrals. The form will clear and the page will refresh after each submittal. If you have any questions regarding this process please contact our contracting department at (210) 738-0239 option 1.

Referral Form