Referral Partner Program

Fleet Feet Sports is committed to helping our customers run and walk pain-free, whether at play or at work.  To assist in meeting that commitment, we have developed relationships with a number of health providers who have proven to be equally dedicated to their clients’ success.  We are confident that when our customers visit these businesses they are treated kindly and are either given excellent instruction on how to improve their health or immediately put on the road to recovery.  If you believe our customers would benefit from your services, please complete the following form.

If you are currently a referral partner and would like to order more prescription pads, please click here.

Business Name*

(your name as it would appear on our website; example, Bones Orthopedics)

Website*

Phone Number*

(this number will be posted on our website)

Business Street Address*

Business PO Box

(if applicable)

City*

State* ILMO

Zip*

Primary Service Provided*

(if you choose Other, please specify in the Messages section)

ChiropracticCounselingMassage TherapyNutritionOrthoticsOrthopedics & Sports MedicinePhysical TherapyPodiatryOther

Contact Name*

(business-to-business correspondence will be sent to this person)

Contact Email*

(for internal communications; your email address will not be posted online)

Any Message for our Outreach Coordinator?