Submit a Referral

We know that our reputation depends on two things: our work and what people say about us. Your trust and support are greatly appreciated. Thank you for recommending us to your friends, family and colleagues!

If you are a patient of record who has referred a new patient to us, please let us know by filling out and submitting the following form.

Referral Request Form

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Dear Patients,

We have always been at the leading edge of infection control & follow all the CDC, ADA, and AAO guidelines. Our highest priority is keeping all patients and team members safe. Your health and safety is our highest priority. We implement the following health and safety policies:

  • Masks are required to be worn at all times with the exception of during treatment
  • PPE (personal protective equipment) is worn by all team members at all times
  • Pre-screening via questionnaire and infrared thermometer is required for all staff and patients before entering the office
  • Limited numbers of patients/ staff in office at one time

We appreciate your understanding and look forward to seeing you at your next visit!

Sincerely,
Dr. Mendez and the team at All About Smiles Orthodontics