Patient Referral

Thank you for referring your patient to our practice for an orthodontic evaluation! To facilitate the referral process, please complete and submit the form below. Also, please send us any current X-rays or records of your patient. These will help us diagnose any orthodontic problems and develop an effective treatment plan. If you have any questions, please call our office at (530) 662-5240.

We appreciate your referrals!


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