Refer a Patient/Request an Appointment
The Dental Specialists makes it easy to refer a patient or request an appointment. Please choose the option below that best describes you:

Orthodontic Referral

Refer a Patient to our Orthodontic Specialists

Thank you for referring your patient to The Dental Specialists for orthodontics treatment. We're committed to making referrals easy and to treating your patients with the personalized care they need. Please complete the form below to begin the referral process. If you need to refer a patient to one of our other specialists, please click here.

  • Referring Practice Address
  • Drop files here or
    Accepted file types: txt, docx, doc, pdf, jpg, tiff.
  • This form is not to be used for solicitation or advertising purposes. The information you’ve provided will only be used by our team to contact you and will never be released to third parties. For more details, please review our privacy policy. By submitting your information to The Dental Specialists, you agree to our website's Terms and Conditions. We ask you to review these Terms and Conditions prior to submitting your information.