REFERRALS 2019-11-29T14:58:15+00:00


We appreciate our patients, and we’re proud to say that many of our new patients have been referred to us by our current patients.  So as a special way to say thank you, we have an exciting new referral program .

It’s easy to be rewarded when you refer your friends and family to our practice!  Each Month – Just refer a friend or family member, and be sure to tell them to write down your name as the referral source on their new patient paperwork at their first visit and you will be entered to win. You can also use the form below to enter a new referral name.

There are 2 ways to enter your name in a month’s drawing:

  1. When your friend visits our office for a FREE consultation, you will be entered to WIN that month’s contest.
  2. When you use the form on this page below and enter names you referred for that month, our office will make sure your name is entered into the drawing.

The drawing is random. The more you refer the more chances you have to win!

  • Refer 1 friend  = 1 chance
  • Refer 2 Friends = 3 chances
  • Refer 3 friends – 5 chances

The random drawings are held each month and announced on our:

Facebook Page

How Winners Will Be Announced

Your referrals will be entered to win awesome monthly gifts and announced on our

Facebook Page


We appreciate the confidence you've placed in us to provide you with the complete care you need, and we thank you for recommending our practice to your friends and family.

If you are here to refer a friend to our practice, please provide us with the information below. Once you've completed the form, click on the SUBMIT button at the bottom of the page