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Doctors’ Notes

Doctors’ Notes

Need to Reach Your Patients’ Orthodontist?

Please choose the location below to fill out the proper form. After you have completed the form, please make sure to press the submit button at the bottom of the form to send us your information.

To Refer Your Patients to an Orthodontic Specialist or to Request More Paper Referral Pads:

Refer Patients to an Orthodontist

  • Illinois

  • Indiana

  • Wisconsin

Algonquin

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Arlington Heights

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Aurora

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Beloit

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Burbank

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Chicago-Avondale

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Chicago-Bucktown

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Chicago-Kedzie

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Chicago-Pilsen

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DeKalb

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Glendale Heights

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Hales Corners

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Harwood Heights

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Hillside-Westchester

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Homewood

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Joliet

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Menomonee Falls

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Merrillville

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Mount Pleasant

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Mundelein

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Orland Park

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Rockford

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Skokie

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Waukegan

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