Refer A Friend For $100

We truly treasure our clients and appreciate your referral of a friend or family member. We will give you both $100 credit to enjoy as a thank you from Old Town Smiles!

Please note this credit cannot be used for their initial new patient appointment but can be applied to future treatment plans and appointments.

Referral Form

Please fill out their details on the form below.

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Friend Contact Information

This field is for validation purposes and should be left unchanged.