Thank you for your interest in the Hydro Floss®.
We would love to answer any questions you have about the Hydro Floss®. Please give us a call at 800-635-3594 or email us at email@example.com.
If you already know you want to help your patients by making the Hydro Floss® available through your practice, simply fill out the Dental Professional Application below. We will then provide you with a personalized Wholesale Discount Code to use when ordering from our website. This code will allow you to order at wholesale prices and take advantage any available specials. Just select Wholesale Discount Code option below. Creating an account is not required to use Discount Code.
If you prefer not to stock the Hydro Floss® in your office but still want to make the Hydro Floss®available to your patients, then select the Referral Discount Code option below. This code can be used by your patients to order at a discount through our website or by calling our office. Creating an account is not required to use Discount Code.
Please note that orders placed using your Wholesale Discount Code must ship to the address provided on this form.[powr-form-builder id=cf6d576e_1484847280]