Refer a dentist
and receive a

$100 Gift Card

How it works

Refer a qualified dentist to BookNow, and receive a $100 gift card when they become a customer.

Receive the gift card within 30 days of the referred dentist signing with HealthShare. Referred dentist must be new to BookNow and from a different practice.

Fill out the form below to get started!

Details of dentist you are referring

Referred First Name*

Referred Last Name*

Referred Email*

Referred Mobile*

Referred Practice Name*

Your details

First Name*

Last Name*

Email*

Mobile*

Practice Name*

Refer a dentist and receive a

How it works

Details of dentist you are referring

Refer a dentist
and receive a