PATIENT REFERRAL FORM
Thank You For Trusting Us With Your Patients
A beautiful smile starts with a great relationship with healthcare professionals like you. Collaboration with dentists, specialists, hygienists, physicians and other providers is essential to our mission. Carefully crafted, personalized treatment plans, a steadfast commitment to orthodontic excellence, and collaboration with referring care teams are our utmost priority. Given the importance of early detection and intervention for certain orthodontic and dentofacial orthopedic conditions, we encourage you to refer your pediatric patients to an orthodontist no later than age six or seven. There’s often more than meets the eye, yet if we work together, we can spot the early warning signs and intercept problems before they arise.
We offer three simple options to kick start the new patient referral process:
Leave it to us
Simply submit a referral form and give your patient our card. From there, we’ll contact your patient to schedule an initial consultation.
Make an Introduction
Call us while your patient is in your office to help schedule their first appointment. Then, give them our card so they can reach out to us directly if they have any questions.
Give our Card
When they contact us to schedule an appointment, we’ll work with you to gather all the pertinent information.
Need additional referral forms, cards, or have any questions or concerns? Just ask! You can call or text us anytime at 503.579.2495
It starts with collaboration
While we believe that everyone smiles in the same language, we don’t believe in one-size-fits-all treatment plans. That’s why we take the time to work with you to understand your patient’s unique challenges and goals and custom design their smile. We promise to keep you informed about your patient’s treatment plan so we can work collaboratively to ensure your patient’s best interest is at the heart of every decision.
Trusted experience backed by powerful technology
As Murrayhill’s only board-certified orthodontist, we have specialized expertise in the latest innovations so we can deliver the most advanced, comfortable and precise treatment plans to your patients. Our cutting-edge techniques and technologies, require fewer office visits and deliver quality results.
Patient-first service, quality results
With an approach that is both high-tech and high-touch, Dr. Walker sees each patient at each visit, offering the highest level of deeply connected, quality patient care.