Referring Dentists

Referring Dentists

If you are a referring dentist and would like to refer a patient to our office, please send an e-mail to with the following information:

  • Name of referring dentist
  • Patient's first and last name
  • Patient's age
  • Name of parent or guardian
  • Phone number
  • Gender

Reasons for Referral

You can also include the reason for referral:

  • Crowding/Spacing
  • Crossbite/Functional Shift
  • Oral Habit/Tongue Thrust
  • Space Maintenance
  • Growth/Skeletal Imbalance
  • Pre-Prosthetic Alignment

Attaching Radiographs

Feel free to also attach any relevant radiographs for the patient.

Thank you for your confidence and the opportunity to serve your patient.
We look forward to working alongside you!

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