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Referrals

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*Please do not submit any Protected Health Information (PHI).

Let’s Work Together

Refer a Patient

We value our relationships with fellow providers and appreciate your trust in our care. At ChildSmiles OC Pediatric Dentistry & Orthodontics, we’re committed to providing expert, compassionate treatment for every patient you refer. To ensure a seamless experience, please fill out our referral form, and our team will take it from there. We look forward to partnering with you to create healthy, happy smiles!