Our practice continues to grow and thrive because of your good word about us to your family, friends, neighbors, and co-workers.  To thank you for sending us people you care about we have implemented a referral program.

​​Our referral rewards program is our way of saying thanks to the people you’ve introduced to our practice. You will receive a $50 gift card for treatment at Patriot Family Dental for every person that you have referred to us. Referring someone to our office is now even easier.

Fill out the form on this page and we will contact your loved one. If they come into the office for any treatment, you will receive the gift certificate in the mail. We truly appreciate the powerful influence of our patients and are so thankful that they find us deserving of their recommendations.  We look forward to caring for you and your family and friends for years to come!

​A ‘Referral’ is someone who is not an existing patient in our practice. Referred patients must let our staff know who they were referred by in order for you to receive the reward. One $50 Gift Card per friend or family member referred. 

If you are here to refer a friend to our practice, please provide us with the information by filling out this form. Once you’ve completed the form, click on the SUBMIT button at the bottom of the page and our staff will get back to you as soon as possible.