Refer a Friend or Family Member to Your Canton OH Dentist!

We appreciate all that our patients do for us and we understand that one of the highest compliments that we could ever receive is a referral of a friend, relative, or co-worker.


With the help of our easy to use form below, patients have the ability to leave their referral of their person of choice and we can guarantee that they’ll receive the same high quality dental care from your Canton OH dentist that is expected.


To refer your friend, family or associates to the dental practice of Dr. Hisrich, fill out the form below with your name and phone number and including your referral’s information in the ‘Message’ portion at the end. We will contact both you and your referral; we will follow up with your referral if they’re interested in learning more about our practice!


Thank you for referring us to your friends and family!

Contact Form
Fill out the form below, and we will get back to you as soon as possible! By filling out this form, I consent to receive text messages, emails, and/or phone calls from this office.
Email Address
Appointment request
Need an appointment with a dentist in Canton ? Requesting an appointment at our Canton, OH family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
Best time(s) to call?
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments