Refer Family or Friends
​Dental Rewards Program

We would like to introduce our friends and family rewards program. For every person introduced by you to our practice you will receive a $50 gift card to use towards any dental treatment at Pershing Family Dental.

This program is our way of saying thank you for your trust & loyalty. We appreciate how you help our family practice continue to grow through your recommendation to your friends, family, and acquaintances. 

Please feel free to fill out the form on the right hand side and refer anyone of your contacts. When they schedule their appointment and come into the office for any dental treatment, we will send out your gift card in a thank you note through the mail. 

Once again we thank you, and are so appreciative that our patients find us commendable of their recommendations to their friends and family! Please be sure to click on the submit button and one of our staff members will get back to you as soon as possible. 

  • A *Referral* is a person that is a new patient in our office.
  • For you to receive your gift card, the referred patient *must* let our staff know who they were referred by. 
  • Only One $50 Dental Treatment Gift Card per referral.​ 

Fill out the form below to get your $50 Gift Card towards dental treatment.

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