Madison 608.274.5970
DeForest 608.846.3302

Madison 608.274.5970
DeForest 608.846.3302



Referral Program

Thank You for Sending Patients Our Way. To Say Thanks and Show Our Appreciation, Madison Family Dental has a V.I.P Referral Program to Wish You Well.

woman smiling

The program is really very simple…

Tell your friends about us at Madison Family Dental and in turn you will earn REWARDS!

What is the V.I.P. Referral Program?

We are asking you to tell your friends about Madison Family Dental. In return, you’ll receive more than a pat-on-the-back … you’ll get REWARDS like special goods and gift certificates to area businesses.

How Do I Refer Friends?

Simply refer your friend to our clinic for an appointment. On our new patient forms is a spot for your friend to write how they were referred. This is where they can write in your name and you will receive your reward.

What are the V.I.P. Referral Program Rules?

  • Eligibility – Referrer: An “eligible referrer” does need to be a current MFDA patient to receive a gift under the V.I.P. Referral Program.
  • Eligibility – Referred: Eligible referred individuals” under the V.I.P. Referral Program cannot be current or former MFDA customers.
  • Referral Process: An “eligible referrer” identifies an “eligible referred individual” by completing and submitting a V.I.P. Referral Card from MFDA. No other form of submission will be accepted. Eligibility is at the sole discretion of MFDA.
  • Right to Modify: MFDA reserves the right to change or discontinue the V.I.P. Referral Program at any time without notice.
  • Entire Agreement: These Rules and Regulations represent the entire agreement between MFDA customers and MFDA with respect to the V.I.P. Referral Program.