Referral Incentives Refer a new patient and receive a free Take-Home Whitening Kit!
Refer a new patient and
receive a free Bleaching Kit!
Referring is easy, and once the new patient completes a consultation, you get to save on the procedure of your choice!
> Read details below
Referring a new Patient is Easy!
Referring a new patient to Dr. Siegel is as easy as telling someone our phone number, website or office address. That's because every new patient in our office completes a Pre-Consultation form, with a "Referred by" field available for entry. As long as they record your name and complete the consultation, you get a free Opalescence Whitening Kit from Dr. Siegel.
Refer by Printed Flyer
We now provide a simple printed coupon (.pdf) that you can use to refer a new patient to our office. This form is a great way to give a referral our contact information, and also allows you to record your name and number to assist processing your referral.
> View Referral Flyer (.pdf)
Refer by Word of Mouth
Send your referral to: www.DrSiegel.com; or have them call: (703) 790-5533
Referral Details
For your referral to be successful:
- Referred individual must schedule a consultation with Dr. Siegel, online or by phone
- During consultation, referred individual must indicate your full name on the appropriate form
- Referred individual must successfully clear payment of the consultation
- You must be an active patient of Dr. Siegel, with at least one visit in the last 2 years
Notification of successful referral:
Dr. Siegel's office will maintain records of successful referrals that are properly indicated during the initial consultation. You will be notified of your free kit either by phone or by email, and you may pick up the whitening kit during your next visit.
Do referrals also receive the $25 Discount for Initial Consultations?
This web-only discount is available to new patients who schedule a consultation through our online form. If your referral chooses this option, they will receive a discount. Either way, you will still receive a whitening kit as long as they fill in your name as the referring individual.
Terms of Referrals
- Remember, you must be a current patient of Dr. Siegel to receive any rewards from a successful referral.
- To use your free whitening kit, you must have visited Dr. Siegel for a whitening consultation.
- This reward cannot be exchanged for money.
Referral Privacy Policy
Dr. Siegel cares deeply about the comfort and privacy of his patients and prospective patients. We have created a privacy policy to ensure patients and other visitors to DrSiegel.com that the information they provide to us through this website will not be misused. This policy describes the information we may collect, how it will be used, and under what circumstances it will be disclosed.
> View the full DrSiegel.com Privacy Policy