You will receive free teeth whitening gel for your friend referral!

We believe that the best way to attract new patients is to encourage referrals from our existing patients. So, if you are happy with the treatment and care you receive at Clear Braces Direct we'd love you to tell your friends and family.

Simply ask them to complete the form below and we'll do the rest. Be sure to tell the person you are referring to mention you when they attend for their initial appointment.

As a little thank you, we'll give you free teeth whitening gel you can collect from the practice once your friend has their first appointment.

Friend Referral Form

New Patient

Friends Details

Please tell us the name of the patient who referred you:


Reviews

View All Reviews