We thank you in advance for your trust in our office to provide exceptional orthodontic care to your patients! We cannot wait to meet you and work together to create beautiful smiles in union with esthetics, health and function.
Referring Doctors and Offices: Please fill out the form, print and have the patient bring it with them to their appointment. If you do not have any referral pads, please let us know, as we are always thrilled to visit dentists in our communities!
You can also fill, submit and print an electronic form below!
For ongoing treatment, use your Doctor Login to view your patients records and updated information. Please contact our office if you have questions about this service.