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Call Us Today! (775) 825-1881 | frontdesk@ogortho.com
Doctor Referrals
Patient Portal
Toggle Navigation
Home
About Us
Meet The Doctors
Reviews
Our Culture
Orthodontics
All About Braces
FAQs
Types of Braces
Invisalign/Clear Aligners
Investment + Financing
Early Treatment
Adolescent Treatment
Adult Treatment
Retainers
i-CAT® 3D Imaging
Resources
Blog
Careers
Current Patients
Refer A Friend
Troubleshooting Your Braces
Orthodontic Emergencies
Patient Portal
New Patients
First Visit
New Patient Forms
Contact Us
DDS Referral
DDS Referral
efreeman
2024-08-01T18:51:05+00:00
Referring Doctor
*
Patient Name
*
Date of Birth
*
Phone Number
*
Patient Guardian
Referred For
General Evaluation
Early Interceptive Treatment
Pre-prosthetic | Pre-implant
Orthognathic Surgery
Clinical Findings
Overbite
Overject
Crowding
Spacing
Class ll
Class lll
Openbite
Extra Teeth
Impacted Teeth
Missing Teeth
Growth Imbalance
Space Maintenance
Airway | Breathing
Crossbite | Functional Shift
Other
Notes
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