Simply complete the form below for each nurse you are referring to our Association. Then hit the submit button to send it to 3rd District Nurses. We will take it from there. (you may print out the form, complete it and fax it to 952-920-8689 or mail it to us at 3rd District Nurses, 4445 West 77th St. Suite 121, Edina, MN 55435) Once your referral has registered and paid, we will send you your 3D Dollars and enter you name in a drawing for a cash prize of $300.
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