Orthopedic surgery referral systems that work.
You have mastered your craft. Now let's build a referral engine that brings you the cases you are great at and paid well for.
Exclusivity for Orthopedic Surgery in your market. We never work for your competitor.
Who we educate for you
- Primary care physicians
- Urgent care centers
- Physical therapists
- Sports medicine providers
- Other specialists
Plus any other provider in your market who sees your ideal patients first.
Cases we help you attract, for example
Does this sound familiar
You should not be this busy and not as profitable as you want to be.
You deserve a system that fills your OR, not just your calendar.

- 01Your schedule is full, but the surgical cases you want are not.
- 02You are constantly fielding low reimbursement or non surgical patients.
- 03You have tried networking, hired marketers, or asked staff to go build relationships.
- 04You are doing good work, but not attracting the right patients consistently.
There is a smarter way
Referral partners who know exactly when and why to send patients to you.
Not just more patients. Clear, consistent, confident referrals for the cases you want.

More surgical referrals
We educate PCPs, urgent cares, PTs, and specialists on when to refer surgical candidates and how your outcomes set you apart.
Aligned patient volume
Stop spending time on patients who do not need your care. Fill your schedule with the cases you are good at and paid well for.
Increased profitability
Higher value cases mean you earn more for the time you already invest. Grow strategically, not by working longer hours.
How it works
A proven plan to build your ideal orthopedic practice.
You bring the clinical excellence. We bring the blueprint and the team to build it with you.
1Schedule a free referral evaluationWe review your current referral base and show you the areas of opportunity and profit enhancement.
2Choose your pathA turn-key system, on demand training, expert coaching, or one on one consulting with Dr. Dave.
3Attract your ideal patientsA system that consistently brings the cases that grow your practice and your profits.
You do not have to figure this out alone
Meet Dr. David Rominski
"I know how exhausting it is to rely on a mix of half baked strategies and low yield networking to grow your practice. I have been there."
Dr. Rominski created a referral system that filled his schedule with the right patients. It helped him scale and sell his practice, and he has spent the last 15 years helping providers across the country do the same, backed by a nationwide team of referral specialists.
Choose the support that fits your practice.
Compare all programsTurn-Key Referral System
We identify the right partners, educate them on your ideal cases, and handle all outreach, tracking, and follow up.
- Custom referral strategy
- On the ground outreach from a rep local to your market
- Detailed reporting
- Exclusivity in your market
Best for busy practices that want results without hiring or managing staff.
Referral Growth and Profit System
The strategies we have used with thousands of doctors, in a step by step program you run at your own pace.
- Full training library
- Systems, scripts, workflows, and playbooks
- Access within 12 hours
- Use with your team or on your own
Best for doctors who have the time and are ready to act now.
System + Expert Coaching
100% money back guaranteeThe full program plus ongoing coaching from Dr. Dave or a certified advisor for accountability and results.
- Everything in the on demand program
- Personalized coaching calls
- Strategy reviews and implementation support
- Custom CRM with reporting, with access to our CRM
- Exclusivity in your market
Best for practices that want expert guidance to optimize outcomes.
Fractional CRO Consulting
Dr. Dave works alongside you as your fractional Chief Referral Officer, leading strategy and coaching your team.
- Customized growth strategy
- One on one with Dr. Dave
- Oversight of outreach and performance
- Exclusivity in your market
Best for practices ready to scale fast and profitably.
Orthopedic Surgery referral marketing
How orthopedic practices get more referrals.
Who refers to orthopedic practices
Orthopedic Surgery referrals come from a predictable set of providers. The practice that is known to these offices, easy to refer to and consistent about communicating back gets the majority of their orthopedic cases. The list for your specialty:
- primary care physicians
- urgent care centers
- physical therapists
- chiropractors
- emergency departments
- occupational medicine clinics
- podiatrists
- athletic trainers and team physicians
Why orthopedic referrals go to a competitor
Most orthopedic referrals are decided by an office manager or a medical assistant at the moment a patient complains about a knee or a shoulder. If your practice is not the name that comes to mind, the case goes to the group with the shortest wait time or the rep who dropped by last week.
What a physician liaison does for a orthopedic practice
A liaison for an orthopedic practice spends most of the week in primary care, urgent care and PT offices. The conversation is practical: which surgeons take same week fracture appointments, how to send imaging ahead of the visit, what the practice does with workers comp cases, and who to call when a patient needs to be seen tomorrow.
How Doctor Referral Institute builds orthopedic referrals
We start with a map of every office in your market that should be sending you total joint replacement, sports medicine, hand and upper extremity, foot and ankle, fracture care and spine. A referral specialist builds the visit plan and a local rep works it every week, in person. Every visit is logged and you receive a weekly report: offices visited, who was seen, what was said and which sources have started referring. Exclusivity is one orthopedic practice per market, so every relationship built in your area is built for you.
Read more about physician referral marketing, physician liaison services and how to get more physician referrals, or book a free referral evaluation for your orthopedic practice.
Questions about orthopedic referrals
How do orthopedic surgeons get more referrals from primary care?
By making it easy and predictable for the PCP's staff to refer. That means a known contact at your practice, a fast path for urgent cases, feedback to the PCP after the visit, and regular in person visits so your practice stays top of mind. Doctor Referral Institute runs that outreach for you with a local rep and weekly reporting.
Do urgent care centers refer to orthopedic surgeons?
Yes, and they are one of the highest volume sources for fracture care, sports injuries and acute joint pain. Urgent care providers refer to whoever can see the patient quickly, so same week access and a direct line are the two things that win that channel.
How long does it take to build an orthopedic referral base?
Most practices see new referral sources within the first 60 to 90 days of consistent outreach. A mature base that sends predictable volume typically takes six to twelve months of weekly visits and follow up.
What does exclusivity mean for an orthopedic practice?
We only work with one orthopedic practice per market. Every referral source our rep develops in your area is developed for you alone.
Free evaluation
Is your market still open for orthopedic?
One practice per specialty per market. Find out in a 20 minute call.
Pick a timeLet's stop chasing and start attracting
The answer usually is not more patients. It is the right ones.
Let's build the referral system your orthopedic practice deserves. Exclusivity is limited to one practice per specialty per market.
Other specialties
