🩺 Doctor Referral Portal
Thank you for referring your patients to Smiles For Kids. Please select the appropriate form below.
Refer a Patient
Send a new patient to our office for pediatric dental evaluation, orthodontics, sedation, or other services.
Referral FormOrtho Treatment Request
Request specific procedures (extractions, surgical exposure, frenectomy) prior to or during orthodontic treatment.
Treatment RequestQuestions? Call us at 770-781-0203