Refer a Friend or Family Member and Get a $25 Amazon Gift Card!*

We believe that one of the best compliments we can receive is when our patients refer family members and friends to our orthodontic offices. To show our appreciation, we have established a referral rewards program.

If your referred family member or friend attends and completes their consultation appointment with us, as a way to say thank you, you will receive a $25 Amazon Gift Card for dental hygiene products, and they will receive a discount towards their treatment.

Referral Rules:

1. Eligibility for Referral:

Existing patients who are already in the system before the referral date are not eligible for referral rewards.
Referral forms must be completed before the referred patient's consultation to qualify for the program.
Patients within the same household are not eligible for referral rewards.

2. Insurance Requirements:

Referred patients must not be covered under local, state, or federal sponsored insurance programs to be eligible for referral rewards.

3. Treatment and Consultation:

Referred patients must be in need of orthodontic treatment to qualify for the referral program.
The referred patient must attend and complete the consultation appointment and the person referring them will receive a $25 Amazon Gift Card as a token of appreciation for their referral.

Let's share the joy of a beautiful smile and start referring today!

Friend/Family Member Information:

First Name

Last Name

Email address (if you know it)

Cell phone number

Is Your Referral:A Child (Under 18)An Adult (Over 18)

Relationship to you:FriendRelative

Your Contact Information:

First Name

Last Name

Email address

Cell phone number

Thank you for submitting your referral! We'll reach out to your friend or family member, and if they begin treatment with us, you will receive a $100 bonus.

Thank you for your understanding and cooperation in adhering to these guidelines. Your referrals are invaluable to us, and we look forward to continuing to provide exceptional orthodontic care to both you and your referrals!