[et_pb_section fb_built=”1″ _builder_version=”4.24.2″ _module_preset=”default” background_color=”#233046″ use_background_color_gradient=”on” background_color_gradient_stops=”#233046 0%|rgba(35,48,70,0.58) 100%” background_color_gradient_overlays_image=”on” background_image=”https:\/\/capitalareadentistry.com\/wp-content\/uploads\/2024\/03\/dental-suite-1920×1080-1.webp” custom_margin=”||||false|false” custom_padding=”2vw||2vw||false|false” global_module=”251978″ saved_tabs=”all” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.24.2″ _module_preset=”default” width=”90%” global_colors_info=”{}”][et_pb_column type=”4_4″ module_class=”vmd-inline-buttons1″ _builder_version=”4.24.2″ _module_preset=”default” pac_dcm_carousel_specific_module_num=”0″ global_colors_info=”{}”][et_pb_text _builder_version=”4.24.2″ _dynamic_attributes=”content” _module_preset=”6acb7f6a-f917-4fbd-9266-77a775dd6ea3″ custom_margin=”||0px||false|false” header_font_size_phone=”30px” global_colors_info=”{}”]@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6IjxoMT4iLCJhZnRlciI6IjwvaDE+In19@[\/et_pb_text][lwp_divi_breadcrumbs font_icon=”9||divi||400″ link_color=”#3BABDC” separator_color=”#F8F2F2″ current_text_color=”#F8F2F2″ _builder_version=”4.24.2″ _module_preset=”default” module_font=”Roboto|300|||||||” custom_margin=”0px||0px||true|false” custom_padding=”0px||0px||true|false” global_colors_info=”{}” module_text_color__hover_enabled=”on|desktop”][\/lwp_divi_breadcrumbs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.22.1″ _module_preset=”default” background_color=”#FFFFFF” background_enable_pattern_style=”on” background_pattern_style=”tufted” background_pattern_color=”rgba(27,68,156,0.05)” custom_padding=”4vw||4vw||true|false” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.22.2″ _module_preset=”default” custom_padding=”1vw||30px||false|false” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.22.1″ _module_preset=”default” pac_dcm_carousel_specific_module_num=”0″ global_colors_info=”{}”][et_pb_text _builder_version=”4.24.2″ _module_preset=”43d33cfd-c63d-434d-83a1-8684e1f343e7″ header_font=”Roboto Flex|700|||||||” header_text_color=”#194E98″ header_font_size=”35px” header_font_size_tablet=”32px” header_font_size_phone=”29px” locked=”off” global_colors_info=”{}”]<\/p>\n
Do you know an adult in the Falls Church area looking for high-quality dental care services for themself or their family? If so, please refer them to Capital Area Dentistry by completing the form below. We’d love to help them!<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” custom_padding_last_edited=”on|desktop” _builder_version=”4.22.2″ _module_preset=”default” background_color=”#ffffff” width=”90%” custom_margin=”0px||0px||false|false” custom_padding=”40px|40px|40px|40px|true|true” custom_padding_tablet=”40px|40px|40px|40px|true|true” custom_padding_phone=”20px|10px|20px|10px|true|true” border_radii=”on|5px|5px|5px|5px” box_shadow_style=”preset1″ box_shadow_vertical=”0px” box_shadow_blur=”30px” box_shadow_color=”rgba(0,0,0,0.1)” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.22.1″ _module_preset=”default” custom_padding=”30px|30px|30px|30px|true|true” pac_dcm_carousel_specific_module_num=”0″ global_colors_info=”{}”][et_pb_text _builder_version=”4.24.2″ _module_preset=”43d33cfd-c63d-434d-83a1-8684e1f343e7″ locked=”off” global_colors_info=”{}”]<\/p>\n
[\/et_pb_text][et_pb_contact_form captcha=”off” email=”info@capitalareadentistry.com,ops@veteranmade.com” custom_message=”Referral:||et_pb_line_break_holder||||et_pb_line_break_holder||Referred By:||et_pb_line_break_holder||%%your_full_name%%||et_pb_line_break_holder||%%your_phone_number%%||et_pb_line_break_holder||%%your_message%%||et_pb_line_break_holder||||et_pb_line_break_holder||Patient Referred:||et_pb_line_break_holder||%%patient_full_name%%||et_pb_line_break_holder||%%patient_phone_number%%||et_pb_line_break_holder||” success_message=”<\/p>\n
Thank you for contacting Capital Area Dentistry!<\/p>\n
” admin_label=”Referral Form” module_id=”contact_us” _builder_version=”4.24.2″ _module_preset=”default” _unique_id=”f80b7588-9b1b-4c32-8791-ad70bf10f0f3″ form_field_background_color=”#f3f4f5″ form_field_text_color=”#333333″ form_field_focus_background_color=”#f9f9f9″ custom_button=”on” button_text_color=”#ffffff” button_bg_color=”#186db8″ button_border_width=”0px” button_border_color=”RGBA(255,255,255,0)” button_border_radius=”5px” button_font=”Roboto Flex||||||||” button_use_icon=”off” admin_email_subject=”Website Referral” collect_ip_useragent_details=”on” show_loading_icon=”off” custom_use_redirect=”on” custom_redirect_to=”page” custom_redirect_page=”252832″ border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}” button_text_color__hover=”#FFFFFF” button_text_color__hover_enabled=”on|hover” button_bg_color__hover=”#0061b7″ button_bg_color__hover_enabled=”on|desktop” button_letter_spacing__hover_enabled=”on|desktop” form_field_focus_background_color__hover_enabled=”on|hover” form_field_focus_text_color__hover_enabled=”on|desktop” form_field_focus_background_color__hover=”#f9f9f9″][et_pb_contact_field field_id=”your_full_name” field_title=”Your Full Name” fullwidth_field=”on” _builder_version=”4.23.1″ _module_preset=”default” use_field_label=”on” use_field_placeholder=”on” field_description_location=”above” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”your_phone_number” field_title=”Your Phone Number” required_mark=”off” fullwidth_field=”on” _builder_version=”4.23.1″ _module_preset=”default” use_field_label=”on” use_field_placeholder=”on” field_description_location=”above” global_colors_info=”{}”][\/et_pb_contact_field][et_pb_contact_field field_id=”your_message” field_title=”Your Message” field_type=”text” required_mark=”off” fullwidth_field=”on” _builder_version=”4.23.1″ _module_preset=”default” use_field_label=”on” use_field_placeholder=”on” textarea_min_height=”100px” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”patient_full_name” field_title=”Patient’s Full Name” fullwidth_field=”on” _builder_version=”4.23.1″ _module_preset=”default” use_field_label=”on” use_field_placeholder=”on” field_description_location=”above” global_colors_info=”{}”][\/et_pb_contact_field][et_pb_contact_field field_id=”patient_phone_number” field_title=”Patient’s Phone Number” fullwidth_field=”on” _builder_version=”4.23.1″ _module_preset=”default” use_field_label=”on” use_field_placeholder=”on” global_colors_info=”{}”][\/et_pb_contact_field][\/et_pb_contact_form][et_pb_text _builder_version=”4.22.2″ _module_preset=”efbe9ccd-90ee-4e55-8442-97fd6810ca6b” text_font=”Roboto Flex||on|on|||||” text_font_size=”12px” text_line_height=”1.4em” custom_margin=”10px||||false|false” text_font_size_tablet=”12px” text_font_size_phone=”12px” locked=”off” global_colors_info=”{}”]<\/p>\n
Please do not submit any Protected Health Information (PHI). This is not a secure or encrypted means of communicating with our orthodontics office.<\/p>\n
[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.22.2″ _module_preset=”default” background_color=”RGBA(255,255,255,0)” custom_padding=”30px|30px|30px|30px|true|true” pac_dcm_carousel_specific_module_num=”0″ border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}”][et_pb_text _builder_version=”4.24.2″ _module_preset=”43d33cfd-c63d-434d-83a1-8684e1f343e7″ locked=”off” global_colors_info=”{}”]<\/p>\n
When you complete the form, we will promptly reach out to you and whomever you refer within one business day using the information you provide. Our team at Capital Area Dentistry is committed to providing exceptional services, discussing our offerings, offering available appointment dates and times, and securing an appointment for whomever you refer.\u00a0 We will also be sure to mention that it was you who referred them to us.<\/p>\n
We prioritize the well-being of each patient from the moment they step into our practice. With our experienced dental professionals, you can expect that whomever you refer will receive Capital Area Dentistry’s finest personalized treatment and care.\u00a0 \u00a0Thank you!<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Refer Capital Area Dentistry to a friend or a patient. We\u2019d love to help them. Call or complete the form to make your referral.<\/p>\n","protected":false},"author":3,"featured_media":252239,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"yoast_head":"\n