Your SMILE is contagious, pass it on!
Announcing our new
REFERRAL PROGRAM
This form may be completed by either new patient or referrer.
COMPLETE THIS FORM
*Exclusions apply: new and full treatments only and cannot be combined with other offers. Expires in 1 year from authorized date. Must be presented at initial exam and payable to referrer once patient begins treatment.
$100
TO BOTH OF YOU!
*$100 to referrer, $100 discount for new patient starting treatment.