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Patient Referral Program

Patient-Referral-ProgramYour referrals are the greatest compliment our office receives!

Immediate family members enjoy a 5% discount off of any treatment and the number of immediate family discounts is unlimited. Discounts apply when treatment begins. When Southeast Orthodontics’ patients or their parents refer a new patient to the practice outside their immediate family they receive:

Patients:

250 reward points if the patient keeps their new patient exam appointment
OR
1000 reward points if the patient starts a treatment within 30 days

Parents:

$25 debit gift card if the patient keeps their new patient exam appointment
OR
$100 debit gift card if the patient starts a treatment within 30 days

Reward points and debit gift cards will be awarded each month for prior month activity. Reward points expire one year after referring patient treatment is complete and debit gift cards one year from issue.


Patient Referral Form

Please fill out the information below, and one of our team members will contact your patient to schedule an appointment time.

Refer a Friend


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Southeast Orthodontics

  • Raynham - 302 Broadway, Rt. 138, Suite 6, Raynham, MA 02767 Phone: 508-880-5891
  • Nantucket - 19 ½ Surfside Road, Nantucket, MA 02554 Phone: 508-880-5891
  • Mansfield: - 100 Copeland Dr. Suite 9, Mansfield, MA 02048 Phone: 508-339-5500
  • Lakeville - 40 Main Street, Lakeville, MA 02347 Phone: 508-880-5891
  • Dartmouth - 408 State Road Route 6 Suite 730, Dartmouth, MA 02747 Phone: 508-880-5891

Five Convenient Locations

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