For every patient that you refer in to our practice for a new patient exam, cleaning and x-rays , we will reward you and your referral with an Opalescence Go 3-pack.

Opalescence Go is the perfect option for patients who are looking for convenient, ready-to-go whitening. A professional whitening gel delivered in prefilled, disposable trays, Opalescence Go features the enhanced UltraFit™ tray and can deliver dramatic results in as little as 15 minutes per day.

• New unique UltraFit™ tray conforms and adapts to any patients’ individual smile, providing and extremely comfortable custom-like fit.
• Molar-to-molar coverage ensures the gel comes in contact with more back teeth.
• UltraFit™ trays superior adaptation ensures the maximum amount of gel stays in contact with the teeth during whitening.
• Convenient prefilled trays can be worn right out of the package.
• Optimal gel quantity provides excellent results and can be brushed away easily after whitening.

There is no cap on how many people you can refer. However, to be eligible for the gift, the new patient that you refer must give us your name when they come in for their appointment.

Your confidence in our practice is extremely appreciated and this is our fun way of thanking you for spreading the word!

Refer your family and friends to us by completing the form below:

Your Name

Your Email

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Friend's Name 1. 2. 3.

Friend's Email 1. 2. 3.

Your Message To Your Friend(s)

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