
Referral Form for Our Referring Partners
We’re pleased to provide an online referral form designed to streamline the referral process and make submissions more convenient for our referring partners. Please complete the form below to refer a patient.
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Experience contactless check-in in Tacoma, WA
To ensure a quick and straightforward dental emergency visit, we'll collect your forms, insurance information, and payment methods digitally.
We keep our wait times low for your convenience and safety
We know you have a million things to do, so we respect your valuable time. We'll be ready and waiting for you!

Let Us Help With
Your Pediatric Dental
Emergency!
We don't just solve problems,
we prevent them.
Book Nowwe prevent them.
In case of a pediatric dental emergency, call:
(253) 848-7000
Safety is our priority
Enhanced PPE, squeaky clean offices, and sterilized equipment.
Gentle Cleaning
We are thorough, but also make sure our patients are comfortable.
Only what's necessary
We make suggestions based on what your child needs. Nothing extra.
