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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 receive a $100 eAmazon Gift Card! Simply tell them to tell us you sent them!

i.e. parent, sibling, friend, etc.

Don't miss your chance for a $100 eAmazon Gift Card
Offer Details
*The referred patient must mention the name of the person that referred them when they schedule their treatment. We will then email that person a $100 eAmazon card. New patients only. Must begin treatment by 3/31/2021 for referring the patient to receive the Amazon card. Cannot be combined with other offers or discounts. Some exclusions apply. Valid on comprehensive treatment only. Comprehensive treatment is 18-36 months. Typical treatment fee is $4,500 – $6,500. iPhone 13 winner will be announced at the end of Q1. Offer expires 3/31/2022.*