CARE-TO-SHARE

In appreciation for your referral, the individual being referred will receive a special New Patient Offer for FREE Intial Exam and X-rays. Make sure they mention your name and this offer at their first visit to our office and you will receive a $20 gift card or $25 off future work at Cedar Rapids Smile Center.

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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