If you are a referring dentist and would like to refer a patient to our office, please send an e-mail to email@example.com with the following information:
- Name of referring dentist
- Patient's first and last name
- Patient's age
- Name of parent or guardian
- Phone number
Reasons for Referral
You can also include the reason for referral:
- Crossbite/Functional Shift
- Oral Habit/Tongue Thrust
- Space Maintenance
- Growth/Skeletal Imbalance
- Pre-Prosthetic Alignment
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!