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Dental Referral Pads

Midwest Dental Solutions will create unique dental referral pads for your practice.  A dental referral form is your first introduction to your future patient. A professionally designed dental referral pad should be part of your dental marketing campaign.   See some of our designs below.

Sharon Kantor Bogetz was a dental hygienist before she got her MBA in marketing.  She understands your unique needs!

Dental Specialists: Every dental specialist wants to distribute a dental referral pad to his referring dentists and physicians that reflects their practice.  Sharon will make your referral pad unique and professional.

General Dentists: Many general dentists also use referral forms for their services including:  Cosmetic Dentistry, Sleep Apnea, TMD, Implants, Sedation, Aligners, Emergency Dental Care, etc. You can use your branded referral pads to refer to your partner or associate!

FAQ [Freqently Asked Questions]
What size referral pads are available?
  • 4″ x 6″
  • 5″ x 7″
  • 5.5″ x 8.5″
How many sheets per referral pad?
  • 25 sheets per pad
  • 50 sheets per pad


How many pads can I order?

Referral pads may be ordered in 10 pad increments.  Minimum order:  10 pads