REFERRAL FORM

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Referring Doctors

referral form . informative links

Our online referral form can be filled out and sent along with any digital x-rays. Should you have any questions, please call us at 520.742.1232.

Tucson AZ Orthodontists Dr Pearcy & Dr Raksanaves
Providing Orthodontic Treatment for Teens, Children & Adults
including Braces, Headgear, & Retainers
1320 West Ina Road, Tucson AZ 85704  phone: 520.742.1232  fax: 520.742.0925

Serving the Arizona communities of Oro Valley and Marana

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