For a quick and easy process, please fill out the forms below and bring them with you to our office. Filling out the forms beforehand helps speed up the time spent in our waiting room and gets you smiling faster and showing off your clean teeth! We look forward to your first visit!
Your cooperation is appreciated and helps us understand how we can best serve you. If you have any questions please do not hesitate to Contact Us.
PATIENT REFERRAL PROGRAM
Patients! We have a wonderful referral program with the opportunity to earn additional free whitening or discounts on future treatments or services.
How it Works:
- Refer 1 person: $50 off future treatment
- Refer 2 people: $100 off future treatment or 5 day supply of Opalescence Go whitening kit.