danvilleorthodontics.com
530 La Gonda Way • Danville • CA 94526
1500 Tara Hills Drive • Pinole • CA 94564
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Invisalign treatment will consist of a series of aligners which are rotated around every two weeks.

Each aligner is individually manufactured with exact calculations to gradually shift your teeth into place.

 
   
 

Referrals

 

Our practice is successful due to many satisfied partners. We would like to thank you for expressing your confidence in our practice by recommending us. We are gratified to find how many new patients regularly call us based on your words of recommendation.

 

 

Doctor Referral Form

If you are a doctor who is referring a patient to us, please fill out and submit the following form.

 

Today's Date:
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Your Name*:
first and last name
Your Practice Name:
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Full Name of the Patient You Are Referring*:
Radiographs Sent? Yes No
If yes, when were they sent?
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