Refer a Patient to River Ridge Pediatric Dentistry

We’re grateful for the trust that patients, fellow healthcare providers, and our community partners place in our team. We take that trust seriously and strive to provide the best possible care to everyone we welcome through our doors. If you would like to refer a patient to our office, please fill out the form below or contact our office to provide the information we need to get an appointment scheduled.

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Phone

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Patient’s Name*

First Last

Patient’s Date of Birth*

Patient or Guardian’s Phone Number*

Patient or Guardian’s Email Address*

Referring Doctor or Provider (if applicable)

Office Name

Referring Doctor or Provider’s Phone Number

Comments*

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Meet the Doctor!

Your family’s care is always our team’s highest priority. Our entire team strives to make sure that our patients have an exceptional experience at every appointment. We also emphasize a treat-and-teach approach that helps patients and their families better understand their oral hygiene and develop at-home routines to maintain healthier smiles between visits to our office. We can’t wait to make you smile!

Brittany Waters, DDS