Doctor Referrals

Quickly and easily refer patients to City Orthodontics and Pediatric Dentistry.

Our online referral form sends your patient’s information directly to us. It uses secure privacy protection and gives you the option to attach any supporting records.

Fill out the online form below or download our Referral form PDF here: Referral Form

We will contact your patient ASAP to schedule an appointment.

Thank you!

Our clinics are open with proper health and safety measures in place. Click here to read our protocol letter to our patients.