Referring Doctors

We appreciate all the Doctors who trust us to provide the excellent orthodontic treatment they expect for their patients.
Doctors, we offer two different ways for you to submit a patient referral. The form below or a PDF version that can be printed. Please choose whichever fits your workflow best and we will take it from there.

The Online Portal option allows established referrers to view established patient records.

Doctor Referral Form

Referring Doctor Form
American Dental Association
Member, American Association of Orthodontists
American Board of Orthodontics board certified
Invisalign
The Edward H. Angle Society of Orthodontists
Pacific Orthodontics Seattle logo with triggerfish
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