Refer a Friend
Patient Reward Program
Share the Smile, Earn the Reward
Love your smile? Share the experience! When you refer a friend or family member to Bensalem Smiles 4 U, you earn $25 off your next major treatment — and your friend gets the quality dental care they deserve.
Simply fill out the referral form below with your details and your friend's contact information. Our team will reach out to them and take care of the rest. It's that easy!
Fill the Referral Form
Enter your details and your friend's contact info below.
Friend Visits the Clinic
We contact your friend, they schedule and complete a visit.
Claim Your $25 Reward
Your discount is applied to your next major treatment automatically.
Submit Your Referral
Referral Form
Fill in the details below and we'll take care of reaching out to your friend.
Thank you! We'll contact your friend shortly. Your $25 reward will be applied after their first visit.
Questions About the Referral Program?
Call us or send an email and our friendly team will be happy to help.