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Orthodontic Referral Form for Dental Professionals

Thank you for referring your patients to us!

When to refer to us

  • General orthodontic evaluation
  • Have questions about braces or Clear Aligners
  • Early interceptive treatment
  • Teen orthodontics
  • Adult orthodontics
  • Jaw pain, popping or clicking
  • Habit correction treatment
  • Orthognathic surgical evaluation

Please email any radiographs or related documents to referral@sentiesortho.com

Consent

If you would prefer to download the form, please see the PDF below.

Download PDF