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Refer a Friend

Do you have a friend or family member that you think would be a perfect fit for Image Orthodontics? Do you believe that their smile and oral health could really benefit from the same high-level of care that you or your child have received from our team?

A successful practice doesn’t just happen; it is the result of a strong commitment to excellence in the professional community and in the relationships we build with our patients and colleagues. We appreciate the confidence you’ve placed in us to provide you with the care you need, and we thank you for recommending our practice to your friends and family.

If you are here to refer a friend to our practice, please provide us with the information below. Once you’ve completed the form, click on the SUBMIT button at the bottom.


Your Referrals Make Us SMILE

If you refer a family member or friend & they start ORTHODONTIC TREATMENT with us, you’ll recieve a $20 Amazon Gift Card PLUS the chance to win an Apple Watch Series 6! Simply tell them to tell us you sent them!

i.e. parent, sibling, friend, etc.
An Apple Watch Series 6 Winner

will be selected and notified at the end of September