Referral Registration

Referral Prospect Registration Form

The form below is for referral partners of Myndshft to submit their prospect registration. If you do not have a current referral agreement in place but wish to inquire how to do so please contact us at If you already have an agreement in place, please fill out the form below for each prospect you plan to register with Myndshft. Within 48 hours, a Myndshft Account Executive will reach out and initiate next steps with the prospect.