Refer A Friend

Online referrals to ClearWhite Dental are the easiest way to refer your friends + neighbors

Thank You For Referring Your Friend

1 
2 
3 

  • Information For Person You Are Referring


    Only name and a phone number are required, but you may provide additional information for your friend if available.



clearwhite logo transparent logo

About Our Referral Program

1. You Choose a Gift!

When you refer a new patient, we thank you with a gift. Just provide your referral’s contact information, and you’ll get to select the gift you want.

2. We Send Your Gift!

When your friend has made their first visit to our office, we will send your gift.

3. Unlimited Gifts!

There is no limit on how many gifts you may receive, so refer as many friends as you like!

Thank you for entrusting the care of your friends and loved ones to ClearWhite Dental. We will do our best to provide the same care to them that we would want for ourselves.