Skip to content

Professional referrals to Timberlane Pediatric Dentistry and Orthodontics

Facilitating seamless collaboration between healthcare professionals to ensure the highest standard of patient care. Refer your patients to our specialized dental practice with confidence.

Expertise and specialization

Refer to us for dental care that requires specific expertise or specialized treatment. Our team of dental specialists is equipped with the knowledge and technology to handle complex cases, providing your patients with the best possible outcomes.

Comprehensive care approach

We offer a full range of dental services. Our approach ensures that your patients receive comprehensive care tailored to their unique needs.

Streamlined communication and follow-up

Our referral process is designed for ease and efficiency, ensuring open lines of communication between our team and referring doctors. We provide regular updates on your patient’s progress and collaborate closely to achieve optimal treatment results.

Professional Referrals Form

Fields marked with “*” are required.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Parent name*
Patient name*
Patient DOB*
Date of referral
Date of most recent services
Max. file size: 100 MB.
Drop files here or
Max. file size: 100 MB.
    Please include image date in file name, or in comments field below.
    Digital Xrays taken and emailed*
    Areas of concern
    Consent*