Alternatively download the “Orthodontic referral form” and once completed email it to firstname.lastname@example.org
Please provide the patient a copy and ask the patient or parent to contact our office for an orthodontic evaluation appointment. Patients are encouraged to visit our website at www.AngelOrthodontics.co.uk to learn about Orthodontics and our services prior to their orthodontic visit.
Please retain a copy of this referral form in your patient records.
Thank you for the opportunity to serve your patients
Dr Fariba Banaie