Comfort Family Dental

Refer a Friend

Richard M. Schwarcz, DDS ■ 25529 Van Dyke Ave. ■ Center Line, MI 48015 ■ 586-757-3373

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Refer a Friend

A successful dental practice doesn't just happen. It is the result of a strong commitment to excellence in dental care and in our relationships with patients and doctors. At Comfort Family Dental we appreciate your confidence in us and believe the greatest compliment you can give is a referring your friends and family to our office. Our referral program is called Care to Share. If you refer a new patient to our office you will receive a $25 gift card to local merchants and restaurants. This is our way to thank you for your support. We're gratified to find how many new patients regularly call on us based on your words of advice.

Choose a form:

Patient Referral Form

If you are a patient of record who has referred a new patient to us, please let us know by filling out and submitting the following form.

Your Information:
  • Name:

  • Phone Number:

  • Email Address:

Who Are You Referring?
  • Name:

  • Additional Information:

  • For Security Purposes, Please Enter the Code Below:

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