Doctor Referral

Complementary Orthodontic Evaluation

Thank you for entrusting your patient’s into our care. Please fill out the below information and attach any necessary imaging for each patient referral. Our team will reach out to scheduled a free consultation at your earliest convenience.

Orthodontic Concerns:

Document upload

*For uploading multiple documents, please hold the CONTROL or COMMAND key to add more than one file. Max. file size is 10MB in total .

Brookfield/Waukesha

Hours of Operation

Our Regular Schedule

Mon.10:00 AM – 5:00 PM
Tue. – Wed.8:00 AM – 5:00 PM
Thu.7:00 AM – 4:00 PM

New Berlin

Hours of Operation

Our Regular Schedule

Mon.10:00 AM – 5:00 PM
Tue. – Wed.8:00 AM – 5:00 PM
Thu.7:00 AM – 4:00 PM