Loyal Patients, Inc.™



	Home · About Us · Rewards Overview · FAQ · Dentist's Benefits · Patient's Benefits · Enroll · Contact Us

	Consultants · Meeting/Event Planners · Refer-A-Colleague

Refer A Colleague

Do you know a colleague that could benefit from Loyal Patient™ Rewards?

Thanks for your interest in sharing information about Loyal Patient™ Rewards with your colleagues.

As you know, Loyal Patient™ Rewards is a completely non-competitive program. Because we focus only on internal marketing and rewarding your own current patient base, it is non-competitive with other dentists in your own community, or even with dentists in your own medical building.

Many dentists are already referring their colleagues to us. When you refer a colleague who enrolls in our program, we’ll send you a valuable free gift to express our thanks. ref

Here’s how to refer a colleague:

1. Provide Your Information:

First Name:	* ^{= Required Fields}
Last Name:	*
Title:
Office Name:
Address:
Address:
City / State / Zip:
Office Phone:	*
Mobile Phone:
Email:	*

2. Complete the form for each Colleague:

Colleague 1

First Name:

* ^{= Required Fields}

Last Name:

Title:

Office Name:

Address:

City / State / Zip:

Office Phone:

Mobile Phone:

Email:

Colleague 2

First Name:

* ^{= Required Fields}

Last Name:

Title:

Office Name:

Address:

City / State / Zip:

Office Phone:

Mobile Phone:

Email:

Colleague 3

First Name:

* ^{= Required Fields}

Last Name:

Title:

Office Name:

Address:

City / State / Zip:

Office Phone:

Mobile Phone:

Email:

Colleague 4

First Name:

* ^{= Required Fields}

Last Name:

Title:

Office Name:

Address:

City / State / Zip:

Office Phone:

Mobile Phone:

Email:

Left Column Content

Click Here To Schedule a Demo!

What Dentists Are Saying...

"Very polished appearance, which I believe will translate well to patient population - gives office polished, professional veneer."

Richard Papp, DDS
Westfield Dental

What Patients Are Saying...

"Wow! We get enough rewards this month to get huge savings on a new digital camera? This is a great program! "

Pamela J

Home ∙ About Us ∙ Privacy Policy ∙ Terms & Conditions ∙ Getting Started ∙ Contact Us