Refer a Patient to Dentalogic Orthodontics

Partner With Us for Your Patients’ Orthodontic Care

Thank you for trusting Dentalogic Orthodontics with your patients. We are proud to partner with local dental offices to provide comprehensive orthodontic care in a welcoming, patient-centered environment.

Our goal is to make patient referrals simple and convenient while keeping your office connected throughout your patient’s orthodontic journey.

Easy Orthodontic Referrals

To submit an orthodontic referral, complete the form below with the patient’s contact information, reason for referral, and any additional comments.

The Patient Referral Form also allows your office to indicate whether relevant records are available, including radiographs, photos, study models, or other supporting information.

When you need to refer a patient to an orthodontist, this form provides a clear and convenient way to share the necessary details with our team.

Need Referral Pads for Your Office?

We would be happy to provide your practice with Dentalogic Orthodontic Referral Pads to help make future orthodontic referrals quick and convenient.

Contact our office to request referral pads, and our team can coordinate getting them to your practice. We appreciate your trust and look forward to helping you refer a patient for orthodontic care.

Dentalogic

4425 W. 95th St. Oak Lawn, IL 60453

Phone: 331-233-1001

Email: Ortho@dentalogicsmiles.com