Doctor Referral Form | Tuscon AZ Kids Dentist | Great Grins

Doctor Referral Form

Introducing* (patient name)

Referring Doctor*

Please Evaluate For* Dental caries/cavitiesSedation/general anesthesiaSpace maintenance concernsTrauma/emergency

Radiographs*  click here to email X-rays

Appointment*

 

We understand that life is hectic and so we strive to make scheduling appointments as convenient as possible. Be sure to review our Patient Forms for quick and convenient online access. For more information, please contact our office with any questions. We are happy to help, and excited to welcome you to Great Grins Children’s Dentistry!  

  • Our Address

    Great Grins Children's Dentistry
    3953 E. Paradise Falls Drive, Suite 110
    Tucson, AZ 85712
    Phone: (520) 325-4746
    Fax: (520) 319-1031
    info@greatgrinsdds.com
    Legal Notices
  • Our Hours

    M - F 7:30 AM - 4:30 PM
    Alternating Mondays and Fridays
    Click here to view our schedule
  • Meet the Tooth Fairy

  • Get Social With Us