Referral Bonus Program


New Patients Are Always Welcome!


Share a Smile! Earn a $25 Credit!


We love having patients like you! If you have any friends or family members you think would enjoy the exceptional dentistry and personalized care we deliver, we welcome you to send them our way!

Simply print and give a friend this page, complete the information and have your friend present to us at his or her first appointment. It is that easy!!!


New Patient’s Name:

New Patient’s Phone Number:

Referring Patient’s Name:

Referring Patient’s Phone Number:


$25 Credit for Each


When your friend’s first appointment is completed, we will credit your account and your friend’s account!