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Select your State:
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Choose Services To Enroll In:
Yes! Enroll our practice in Loyal Patient™ Savings Rewards

Pricing:

  • Unlimited rewarding
  • No set-up fees

Mailing Fees:

  • One-time fee for two personalized mailings per household (Announcement and Follow-up mailings): $2 per Patient Household

Yes! Enroll our practice in Loyal Team™ Savings Rewards
  • No Set up Fees
  • Month to Month
  • Flat Monthly Fee Covers Unlimited
    Rewarding for Your Entire Team
  • No Additional Costs - Period!

Choose Your Plan:



Number of Team Members includes Dentists
Click here to acknowledge you will not provide the Loyal Patient Savings Program to patients whose services are being paid in whole or in part by a federal health program.
Please enter your practice information here:
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Enrolling Dentist Information:
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Or, Same as Enrolling Dentist Information
Primary Contact Person Information:
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Or, Same as Enrolling Dentist Information
Or, Same as Primary Contact Person Information
Billing Contact Information:
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Other Information:
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* = Required Fields

Please Enter Your Payment Information Here:

Automated Billing Authorization - Client hereby authorizes LPI to charge the account marked below for payment of Fees for services rendered by LPI.

Credit Card Information: (Please enter information exactly as displayed on Credit Card)
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* (MM/YYYY)
Enter the code shown:



**This is the last 3 digits on back of a VISA, MasterCard or Discover. On AmericanExpress, it is the last 4 digits on the front.

* = Required Fields

Program Summary:

You’ve made a wise decision to enroll your practice in the Loyal Team™ Rewards program from Loyal Patients, Inc™. This Agreement specifies how Loyal Patients, Inc.™ (LPI) will provide its Loyal Team™ Rewards (LTR) program (Program) for your employees. Under the Program, LPI will enable you to reward your team members with access to brand name travel, entertainment and merchandise benefits to express your gratitude for their loyalty and their successful job performance.

Providing Your Account Information:

You agree to upload certain data concerning your team members on the LPI "Register Your Team" page of this website. You also agree to provide certain information about your practice required by LPI in order to support the LTR program for your practice.

Billings and Your Right To Cancel:

  1. After entering your credit card number below, you will be billed the appropriate amount (based on the number of team members you register for the LTR program) for your first month of service and each month thereafter.
  2. There are no long-term contracts required. You may cancel your participation in the Program at any time by calling LPI’s customer service number at 703-442-0079. After cancellation you will not be billed for subsequent months.
  3. There is no set-up fee required to participate in the LTR program.
  4. You agree to pay the fees specified based on the number of team members you choose to enroll in the Program (Note: number of team members includes any dentists enrolled into the Program).

Your Payments Will Be As Follows:

Ongoing Monthly Program Fee: Once you submit your credit card for payment, you will be billed for your first month’s participation in the Program. You will then be billed for each subsequent month of Program participation at intervals of approximately 30 days. Each month, approximately five days before billing, you will receive a Courtesy Advance Billing Notice to advise you of your upcoming billing.

Terms and Conditions:

You also agree to LPI’s Terms and Conditions of Use posted on the LPI website at https://www.loyalteamrewards.com/TermsAndConditions.aspx. Submission of this Agreement will constitute your acceptance of these obligations. If there is a conflict between this Agreement and LPI’s Terms and Conditions of Use, the terms of this Loyal Patients, Inc. / Team Rewards Agreement will control.

Refund Policy:

Services billed on credit card are paid for one month in advance and no cash refunds are available for services provided in previous months or in the current month. However, you will not be billed for subsequent months after 30-days prior written cancellation. There are no cash refunds on cancellations of programs paid for via LPI’s financing program; in this event, only a credit on other LPI products or services will be provided for unused months, after the required 30-days prior written notice of cancellation. Mailing fees are not refundable.