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Doctor Referral Forms

At Prettyman Orthodontics, referrals are the lifeblood of our business. We greatly appreciate you entrusting us with your patients’ orthodontic treatment. Our sincerest thank you for your ongoing patient referrals.

Do you have an orthodontic referral?

Use a downloadable, PDF version of our Referral Form; just click below.


Need more referral pads?  Call us at 704.247.9150 or email us at [email protected]. We’ll be sure to get them to you right away.