Referrals

Referring from:

Dentist Pediatric

Introducing :

Referring Doctor:

Our goal is to provide patients with treatment based on the direction and preferences from you, the referring dental office. Toward this goal, please check one of the options below:

Please continue to see this patient for recalls at Children’s Dentistry of Chattanooga, PLLC. Please return the patient to the office of the referring dentist.

We have referred the patient to your office for the following:

Areas referencing from chart

Please check the x-rays you are forwarding to us:

Bitewings Pano Other

X-rays can be emailed to info@chattyteeth.com

Additional Comments:

Office:

1612 Gunbarrel Rd., Suite 102,
Chattanooga, TN 37421

Phone:

(423) 291-4220

Hours:

Monday through Thursday
8am-5pm

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