Refer Our Office

Share the things you LOVE, including your dentist! One of the highest compliments a dental practice can receive is when a patient refers a friend, relative or co-worker.

We have made this process simple and easy to use in the section below. We guarantee they will receive the same high standard quality of care you have already come to expect from us.

To refer a friend to Alaska Premier Dental Group, fill out the information below.

  • An email will be sent to the address you have provided.
  • We will contact your friend if they respond saying that they would like more information about our office.

To refer a friend to Alaska Premier Dental Group, fill out the information below.

  • An email will be sent to the address you have provided.
  • We will contact your friend if they respond saying that they would like more information about our office.

 *Friend’s first name:
*Friend’s last name:
 
 

Friend’s phone number:

 *Friend’s email address:
 

*Your first name:

*Your last name:

 *Your email address:

Which location do you wish to refer?
Suite 100, Anchorage
Suite 200, Anchorage
Wasilla

 Notes:
 * Required field
       
 

We’d like to say “Thank you” for your kind referrals of family and friends. You’ll receive a $30 gift card of your choice each time you refer a new patient to our practice. That’s EACH new patient.

In addition, each person you refer will also receive a $30 gift card at the conclusion of their first visit. It’s a win/win/win proposition!

*Card choices subject to change, based on availability. **First visit/new patient defined as adult (18+) comprehensive exam and x-rays. New patients only.