Refer

$50 Gift Card Basket

Refer a Friend & Receive a $50 Thank-You Gift Card

We appreciate your trust in Creative Smiles. Refer a friend or family member* and receive a $50 promotional gift card once they complete their first new patient appointment.


How It Works

  1. Submit the referral form below.
  2. We contact your friend to schedule their visit.
  3. Once they complete their new patient exam, you receive your $50 Gift Card.

Referral Form

Your Information

Referring person must be an existing patient of the clinic.

Friend’s Information

I confirm that I have obtained consent from the person I am referring to share their contact information.

Terms & Conditions

  • Gift Card issued after the referred patient completes a new patient exam and consultation.
  • One $50 Gift Card per new patient referral.
  • Gift Card has no cash value.
  • Cannot be combined with other promotional offers.
  • Offer subject to change without notice.
  • By submitting this form, you confirm you have permission to share your friend’s contact information.
  • The referred person cannot be a member from the same family of an existing patient.