Patient Referrals

Your oral health is our top priority, and we appreciate your trust in our team. To facilitate the referral process, please download and complete the referral form provided below.

Once you've filled out the form, you can either bring it with you to your appointment or submit it electronically. Should you have any questions or require assistance, please feel free to reach out to us. We're here to ensure your dental experience with us is seamless and comfortable.

Thank you for choosing Smiles by Design. We eagerly anticipate serving you and your dental needs!


Contact Us Today

* All indicated fields must be completed.
Please include non-medical correspondence only.


Our Office Locations

Office Hours

Monday: 8am – 5pm
Tuesday: 8am – 5pm
Wednesday: Closed
Thursday: 8am – 5pm
Friday: 7am – 3pm

Accessibility Toolbar