Patient Referral program


At Paramount Oral Surgery, we offer our patients the compassionate care that they deserve. Our Staten Island oral surgeons are highly qualified and will produce the results you expect during your next visit.

To share your quality experience with friends make sure to print out the below form. By filling out the form below and referring a new patient, we will reward you with a $25 gift certificate to Target.

There are three painless steps to this process:

  1. Spread the news about our exceptional patient care
  2. Refer a new patient and fill out the form on the reverse side
  3. You’ll both receive a $25 Target gift card!

**Not valid for patient’s immediate family members nor patients who live in the same household as you**

To schedule an appointment with Paramount Oral Surgery, contact us to get started. Remember, the sooner you schedule your appointment, the sooner you and someone you know can receive your $25 Target gift cards!

Image of patient referral form Click here to download our Patient Referral Program Form And Print Our Referral Form