Refer Our Office

One of the highest compliments a dental practice can receive is when a patient refers a friend, co-worker, or relative. We have made this process simple and easy to use in the section below. We guarantee they will receive the same high standard quality of care you have already come to expect from us.

Patient Referral Program

We appreciate the confidence you express in us through the referral of your family and friends. As a token of our gratitude we offer our Patient Referral Program. When you refer a new patient to our office they will receive $50 off their next dental treatment (after the completion of their first dental visit) just for trying us out! Plus, you will be entered in our quarterly drawing to receive an iPad Mini or iPod Touch. It's our way of saying thank you for trusting us with your care. Be sure to call us for more information.

To refer a friend to Advanced Dental Care, fill out the information below.

Referral Information
Friend's Name:
Friend's Phone:
Friend's Email:  
Add personal note to the email:

Your Information
Your Name:
Your Email:



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