Columns 4 Kids :: Tell Us

Tell My Doctor

Patient to Healthcare Practitioner/Doctor Referral Form

1. What is your healthcare practitioner/doctor's name?

2. What type of healthcare does your doctor practice (pediatrician, chiropractic, cardiologist, etc)?

3. What is the address to send information to? Name:

Street:

City:

State:

Zipcode:

Email:

4. What is your contact information? Name:

Street:

City:

State:

Zipcode:

Email:

By giving the above information you are requesting that Wollip, LLC send your healthcare practitioner information on Columns Pillows 4 Stage Sleep System for Children..

Sample letter that will be sent with above information:

Dear ___________,

Your patient, ____________________, has requested that we send you information about Columns Pillows.
Columns Pillows were developed by Wollip, LLC to give children better support and a healthier sleeping experience.

After reviewing the information, please visit us at www.ColumnsKidsPillows.com or call 919-557-7597 if you have any questions.

Regards,

Customer Service
Wollip, LLC