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Referral Program



Earn Gift Cards for Every Referral

Receive a gift card of your choice for every referral you make. Get a $25 gift card for your first referral, $50 gift card for your second referral and a $75 gift card for your third referral and up. You can choose from a selection of stores including Nordstrom, Target, Costco and more! 

Win Prizes in Our Monthly Raffle

You can win Disneyland tickets, a flatscreen HDTV, and more in our monthly referral raffle when you refer new patients. After your second referral, you receive an entry into that month's raffle.  To see all the prizes for this year, click here. 


Referring Is Easy

  • Fill out our Referral Form and we'll introduce ourselves.
  • Have them mention your name when scheduling their first visit
  • Share our referral card. Pick one up during your next visit.




Referral Form 

Give your friends the gift of a beautiul healthy smile. Fill out the form below with your new patient referral's information and we'll reach out to them! 

Referral Information:

Bold Fields are required.