Refer a Patient

Our orthodontists welcome referrals from doctors and other dentists to our SmileTown Orthodontics Braces & Invisalign locations in Burnaby,Langley, and North Delta.

Pediatric Orthodontics for Children & Teens

Thank you for considering our orthodontics services for your patients.

You can rest assured that we will provide the quality of care you expect. We specialize in children and teens Orthodontics in 3 convenient locations across Greater Vancouver, BC | Burnaby | Surrey | Langley.

Please contact our office about the patient you are referring. Or, you can complete the form on this page, and a member of our team will be in touch.

Pediatric Orthodontics for Children & Teens at SmileTown Dentistry & Orthodontics

Referring Doctor's Name: *

Referring Doctor's Phone Number: *

Referring Doctor's Email Address: *

Referring Doctor's Request:

Please contact me about this patient.

Please contact the patient's parent or guardian directly.

Neither. I have suggested the patient's parent or guardian contact Smile Town Dentistry directly.

Patient's First Name: *

Patient's Last Name: *

Patient's Age: *

Parent or Guardian Name: *

Parent or Guardian Phone Number: *

Parent or Guardian Email Address:

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Refer a Patient

Pediatric Orthodontics for Children & Teens

We're Welcoming New Orthodontics Patients!