Referral Program

Call us at 713-721-1222 if you
have any questions or to make an
appointment over the phone!

Click below to make an
appointment online

Make an Appointment

Refer Friends and Family

Our patients are our most valuable asset and we treat everyone like family. As a token of our appreciation, when you refer family, friends, or colleagues, we will provide them with a FREE Exam and X-rays. In addition, we will have a monthly drawing for everyone who sends us a referral to receive a prize.

Information for Referral

FIRST NAME

LAST NAME

PHONE NUMBER

EMAIL ADDRESS

 

Person Who Referred

FIRST NAME

LAST NAME

PHONE NUMBER

EMAIL ADDRESS

 

Privacy Protection
We respect your privacy and will safeguard your personal information and never share your information with anyone. We maintain physical, electronic, and procedural information safeguards.