Referral Program

Get Healthy. Get Smiling.

For each person you refer,
Choose one of the following


$500 OFF Orthodontics
Buy a toothbrush and
Get a Water Pik half off
Back to School
(backpack/pens/pencil)

**** Monthly special prize giveaway for highest # of referrals. Must be at least 3


Give us your name and the name of the person you referred below:

Name of the person you refered below:

Your personal information is for our Dental Office only and will be used solely to contact you.
We will not give away or sell your information to anyone.

Get Healthy. Get Smiling.

Whether our patients begin to see the benefits of regular Oral Wellness visits, have a life-changing smile makeover or learn something new from our expert team, they often can’t help but share the experience with others. Patients simply sharing a story with a friend allows us to grow our Village Park Family Dental and for that, we would like to give our patients a reason to smile. For every person you refer to Village Park Family Dental, you will be given one of the following gifts with our Referral Program.

  • $500 OFF Orthodontics
  • Buy a toothbrush and Get a Water Pik half off
  • Back to School – (backpack/pens/pencil)

Monthly special prize giveaway for highest # of referrals. Must be at least 3 referrals

This Month’s Giveaway

This Month's Gift


Invite Friends!

Have you referred someone in the last month? Invite friends to check out Village Park Family Dental – once they make and honor an appointment, you’ll be eligible for a gift!


Have a question? Want to send us a quick line? Need to make an appointment?

Fill out the form below and one of our team will contact you ASAP!

Make an Appointment?