Doctor Referral Form | Great Grins Children's Dentistry | Pediatric Dentist | Tucson, AZ

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*

  • 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