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For clinicians & programs

Refer a patient in about two minutes.

Tell us how to reach your office and we will call you back to set the patient up. There is no account to create, no portal, and no IT request, and no information about your patient goes into this form.

About you and your practice

10 digits. Optional, but it helps us find your practice faster.

The number your office actually answers.

Best time to reach your office

Optional — about your practice or program, not about your patient.

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What happens next

Three steps. We handle the follow-up.

  1. 01

    You send your details

    Your name, your practice, and the best number to reach your office. About two minutes, no patient information.

  2. 02

    We call your office

    We discuss fit and coverage with your staff and agree on how the patient will be introduced to Aera.

  3. 03

    Your patient starts

    The patient is enrolled through the standard consent process, and your team can see their progress from the first day.