Refer a Patient

HIPAA Compliant Online Referral Form

Love our office? Have a patient that is interested in phase 1 treatment, Invisalign®, or even adult braces? Send us a referral using our simple online referral form. You can even securely attach a pano to the form. After you complete the form your patient will receive an automated email copy of the referral, and your office will receive a password protected PDF copy of the referra.with more detail.