Referring Doctors

Orthodontic Referral Form | 3020 OrthodonticsReferring dentists, please click on the referral form below to download our easy to use orthodontic referral form. The referral form will help us prepare for your patient.

We invite you to fax the completed referral form back to us at Fax:  (773) 945-6706.

Dr. Goldberg would be happy to discuss your patient’s case personally, please do not hesitate to call him at (773) 754-3900.

As a service to your patients, we maintain a 24-hour answering service.