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West Willow Care to Share Program

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How does the Care to Share Program work?

When it comes to promoting the benefits of our office, nothing beats word-of-mouth referrals.

As a patient of ours, we respect your opinion. Those casual conversations with your friends, co-workers and neighbors can have a tremendous impact on their decisions regarding their next dental health care provider. This program allows you to refer your friends, co-workers and loved ones, with the opportunity for you to benefit from it.

How Do You Benefit?

Refer your family and friend and YOU will receive a $25 gift card or a $50 office credit!

How do your friends benefit?

Your newly referred friend will receive a Philips Sonicare after completion of initial exam, cleaning, and any necessary treatment.

Fill out the form below and your referred friend will receive an email about their new referral!






Your Name (required)

Your Email (required)

Name of person you want to refer

Email address to send referral to

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Who qualifies for as a referral?

Anyone who is not currently an existing patient. Your referral must be seen in our office for an initial exam and cleaning or any other services that Dr. Jeleniauskas provides.

If you have any questions, please Contact Us.