HRI Salon Referral Program

USE THIS FORM to inform HRI of your client referral and receive your financial compensation.  Thank you for your involvement.

Salon Name (required)

Stylist Name (required)

Check one of the following:

Stylist gave customer a brochureHRI should send customer a brochure

Does HRI have permission to contact the client YesNo

Client Name

Date of Birth

Mailing Address

City, State, Zip

Client Phone

Client Email (required)

Preferred Contact Method

Additional Notes to HRI about client's concerns


hair loss clinic locations minneapolis

Vern Cole. Hair Restoration Institute of Minnesota. Minneapolis St. Paul

Hair Restoration Institute of Minnesota

At Hair Restoration Institute of Minnesota, our attention to total client and patient services always includes:

  • Free, no obligation hair loss and scalp evaluation.
  • Discreet, private, dignified and confidential service.
  • Totally private styling rooms for both men and women.
  • Professional, one-on-one personalized service.
  • Convenient locations with private, off-street parking.
  • The security of dealing with a firm that has been continuously in business since 1982.

Questions?  Call us.

WE INVITE YOU to schedule a private, no-obligation consultation at one of our state-of-the-art hair restoration centers in St. Paul or Bloomington, Minnesota and discuss your hair loss concerns with a trained HRI hair loss professional.

Whether you are just starting to experience baldness or are in the most advanced stages of hair loss, we can help with our full spectrum of professional treatment and hair restoration options.

CLICK HERE to schedule your private hair loss evaluation today. Or call us any time at (612) 588-4247.

Book a Free Consultation

Schedule a FREE Hair and Scalp Evaluation.

Get all your hair restoration questions answered. Find out which hair loss solution is right for you.
Book a Free Consultation