

by Jay Geier
How eager do you think your patients are about
recommending you and your practice to their closest
friends and family members? Does coming to your office
leave a great impression on your patients or is it just
another "office visit"?
There are things you can do to significantly increase
patients' and parents' eagerness to refer to you. Get serious
about referrals; take the time to understand how
lucrative they are to your practice and be diligent about
adding new referral strategies to your marketing plan on
a regular basis.
Referrals are typically the best kind of patient. They
require the least amount of persuasion and often come
"presold." However, I see a lot of doctors who completely
bungle these opportunities. More often than not, in
referrals' conversations with you and your staff they'll
reveal exactly what they want and their expectations.
Then all you have to do is deliver.
The other mistake I see doctors make is not giving
referrals the time and resources they deserve. If you want
to generate patients, why not generate the optimal type
of patients? Every time a patient walks into your office,
you should visualize a line of people standing behind that
person – all their friends and family – and realize that
your patient probably has some level of influence over
those people. As a strategy, you should be doing everything
within your power to get them to refer three or four
of those people. If you're taking good care of your
patients there is no reason why they should not refer at
least one person. If they don't, it's probably because you never asked them to. Put some intention on referrals and
they will go up dramatically.
There are also a few misconceptions doctors have
about getting referrals. First, only long-time patients refer – false. Second, they only refer after they get tremendous
results – false. And third, if someone's referred once, you
probably can't get him or her to refer again – wrong.
When it comes to asking for referrals, earlier is better.
Referrals are more likely to happen early in the relationship
rather than later, so be actively seeking referrals in
the days or week following the first visit. Don't wait a
year and then expect a lot of referrals. At that point most
of the excitement will have faded. Oftentimes referrals
happen before there is any result whatsoever. In many
cases, the thought of a result is more exciting than the
actual result. As for a limit on referrals, if you keep your
patients happy, they'll keep referring. Drop the ball and
you risk losing them and their referrals.
Start by setting a goal. Pull your last six- to 12-month
referral numbers and come up with an average number of
referrals you get each month. With these strategies, try to
increase your referrals by at least 10 percent.
Now, let's dive in and look at some specific strategies
that will help stimulate your referrals.
1. Make Your Office Referable
The physical appearance of your office has to be
appropriate to justify referrals. If your office hasn't been
updated in 10 years, it's probably not a referable office.
You should do updates – even if they're minimal – every
three to five years. A first impression is made as soon as a
patient walks in your door. The parking lot should be
clean and well-maintained. The exterior of the building
needs to be in good shape with visible up-to-date signage.
There should be someone at the front to greet patients
when they walk in the door (not behind a sliding window
of glass). The magazines need to be current and you
should have water, coffee or other beverage options in the
waiting room. TVs, free Wi-Fi or computers with Internet
access are all a plus. And of course, make sure your office
is always clean and tidy. Your staff is a huge part of this. If
they are warm, inviting, personable and helpful, they're
more likely to make a good impression than if they are
cold, grumpy and unhappy with their jobs. You cannot
afford to keep unhappy employees in your practice. They
are like poison and will affect other employees and your
patients. Give them a new role where they don't have to
interact with people or get them out of the practice. Gauge
whether office updates are needed based on comments or
compliments from patients and parents.
2. Communicate That You
Want Referrals
Don't assume patients know. Make it a point to communicate
to your patients that you want their referrals.
Many doctors are doing all the right things – they have a
referable office and service is supreme, but they're not letting
their patients know that they actually want their
referrals. Don't make it complicated, just ask!
Asking for referrals should be intentional and built
into the staff and doctor's interaction with every patient.
For example, as you leave the room or are walking the
patient to the front desk say, "Mrs. Jones, we look forward
to working with you as a patient. We would love
more patients just like you. Would you reach out and tell
two or three of your friends or family members about
your experience with us?" If you've provided good service
that day, your patients will be more than willing to do
that for you.
3. Send Out a Patient Newsletter
Regularly
If you're not already sending out a patient newsletter,
start immediately! If creativity isn't your strong suit, there
are many companies that will put a newsletter together
for you. The magic of a patient newsletter is it gives
you a way to leverage yourself and spread your reach.
When you mail out a newsletter to a thousand people
with a picture of yourself and your office on it, you'll be
showing up in front of a thousand people that day, without
ever having them enter your office. In every single
newsletter you send out there should be several things
that ask for referrals and promote your referral program.
Newsletters are also a great way to highlight services, run
specials or offer discounts and promotions. At minimum,
do a newsletter every other month.
4. Market Your Referral Program
Throughout Your Office
In addition to asking, one of the easiest ways to stimulate
referrals is to show that referrals are greatly appreciated
in your practice. Advertise it throughout your office.
Put signs in places where you know people will see them – the waiting room, on the check-in/check-out counter,
by the magazines, in the restroom, on the complimentary
beverage table. Take it another step and tie balloons to
the signs to draw more attention.
5. Run Referral Contests with
Your Patients and Staff
You should always have a referral contest running.
This contest can be held over a 30- to 90-day time period depending on what you prefer. Some of our clients who
do one every month are bringing in 20 to 40 extra referrals
each month. Follow this step-by-step process to run
your referral contest.
Prizes can stay the same or rotate, just base the prize
on your clientele. For kids, prizes like a bicycle or gaming
system are popular. TVs, iPads and laptops work well for
almost everyone.
Step 1: Go buy your prize and put it (or a photo or
replica of it) in a prominent location in your office, along
with nice signage that explains how to win. Also put something
in each treatment room to advertise the contest.
Step 2: Mail a postcard or letter promoting the contest
to your current patient list. If you have their e-mail
addresses, send them an e-mail. Include a write-up about
it in your newsletter. Promote the contest to your clients
often and always include a visual of the prize.
Step 3: Make sure your team is promoting the referral
contest with every patient who walks through the door.
Step 4: Choose a winner. Don't forget to take pictures
of the patient holding the gift with you and your staff
gathered around and put the picture in your newsletter
and on your Web site with a write-up promoting the
referral program and how they can win the next prize.
Staff referral contests will get your staff fired up and
focused on getting referrals. Let's face it – you've got a
staff and there's a lot more of them than you. Your staff
can be your best marketing source if they are motivated.
The most successful referral programs happen in practices
where the staff has taken ownership of driving referrals.
Set up an incentive or contest that your staff will get
excited about. You can pay them per successful referral or
set a goal and reward them with a prize when they reach
the goal. You can also run a contest much like your
patient referral contest. The key to incentivizing staff on
referrals is to set a goal for the number of referrals they
have to get before it kicks in. The goal should be higher
than the number of referrals you were getting before the
contest. If you set it up like this, you shouldn't have any
hesitation about paying out the incentive or giving away
the prize when they hit the number. It's a win-win.
6. Gift Your Current Patients
The Law of Reciprocity says that people try to repay
what another person has provided to them. Begin a simple
gifting process to acknowledge your patients' existence.
This shows you know who they are and appreciate
them. The Law of Reciprocity will compel them to repay
you. They can easily repay you with referrals.
The gift can be small – a coffee mug, workout bag,
hat, etc. Don't get wrapped up in the item or the cost.
Just a small token of appreciation will have a bigger
impact than you think. Plan to send a gift two or three
times a year. It might be sending them something on a
holiday or their birthday or just pick a time for patient
appreciation. Whatever gift you give, the patients will
give back to you tenfold.
7. Present Every New Patient with
a Welcome Letter and Gift
The welcome letter and gift is to be handed to the
new patient when they physically come in for the first
appointment. Don't hand it over the counter, walk
around to the front of the counter or walk it over to
them if they are sitting in the waiting room and say,
"Mrs. Jones, on behalf of Dr. Smith and our team we
want you to know how glad we are that you chose us.
Make yourself at home and let me know if you need anything."
The letter inside should say something similar,
briefly explain the referral program and ask for a referral.
You can even put a few referral cards in the
envelope as well. The letter should actually
be signed by the doctor. This will take a few
extra minutes but makes a huge impression.
Again, the gift can be small. It's not the gift
but the act of giving the gift that creates the
wow factor.
Pay close attention to the results these
activities generate and make sure your staff
is carefully tracking patient referrals. If your
referrals increase, keep doing the things
that worked.
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