Refer a Friend

How Does it Work?

Do you love Smile Center Orthodontics and want to earn a Golden Ticket?  

  1. Fill out the form below with your friends' contact information so we can reach out to them about perfecting their smiles with Smile Center Orthodontics or have them call 618-288-7000 to schedule a New Patient appointment.  You must fill out the form below before your friend schedules their initial consultation.
  2. When your friend starts treatment with Smile Center Orthodontics, you will receive a Golden Ticket.

The more friends, who start treatment with Smile Center Orthodontics, the more Golden Tickets you will receive!

*In order to receive a Golden Ticket, referred patients must start treatment with Smile Center Orthodontics. Immediate family members (parents, children, siblings) are not eligible for Refer-A-Friend Program. Referred patients must provide your name when scheduling their initial consultation for you to receive a Golden Ticket.

Refer-a-Friend By Filling Out the Form Below:

Referral Information:

Bold Fields are required.

4218 IL-159, Glen Carbon, IL 62034
(618) 288-7000