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Doctor Referral Form

We are always dedicated to your patients care at our orthodontics practice. Referring to Village Orthodontics is a simple process.

We thank our referral network for their ongoing support. Please reach out if you would like us to provide your patients with all of their orthodontic needs.


Fill out this form to refer a patient to Village Orthodontics

Our Commitment

We know that your relationship with your patients is important. We are here to provide your patients with the orthodontic care they need, and return back to you for regular hygiene and checkups as you request.

Our Systems

We use various orthodontic technologies and systems to provide your patients with orthodontic care services. Ask us if you would like more information on our systems.

Our Events

We host a series of events for dentists throughout the year. If you and your team are looking to improve your knowledge about changes in orthodontics, are looking to get CE credits, or are looking for fantastic networking opportunities, please look out for our upcoming events.

Learn all you need to know about Village Orthodontics!

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