I am a patient of Petrol Orthodontics and earn reward points for regular dental check ups.
Bringing in this Dental Reward Certificate at my next orthodontic appointment
guarantees points will be added to my Rewards Card.
Dentists, Hygienists and Dental offices can earn reward points too. Each completed certificate
will be entered into a drawing for a special gift from Petrol Orthodontics.
Thank you for completing this certificate!
This certifies that the above patient has completed the following:
Requested Dental Treatment Completed
Dr. or Hygienist’s Initials: _________________ Appointment Date: __________________
Dr. or Practice Name: _____________________________________________________
41011 California Oaks Rd, Suite 201, Murrieta, CA 92562
31537 Rancho Pueblo Rd, Suite 205, Temecula, CA 92592
951-698-8200 29826 Haun Road, Suite 101, Menifee, CA 92586