Providing top-notch orthodontic care with a special focus on our patients has made Short Orthodontics one of the most referred orthodontic practices in Ft Lauderdale/South Florida. We owe a thanks to our patients for making this happen and appreciate the confidence shown in our practice by your referrals and recommendations.

Refer a Patient

If you are a doctor who is referring a patient to us, please let us know by filling out the form below. Are you a patient of ours? If so click here for our patient referral form.

Your Name*		Comments
Your Practice Name*
Your Phone Number
Your Email*
Full Name of the Patient You Are Referring*
Radiographs Sent?	-- Please Select -- Yes No
If yes, when where they sent?
Contact Preference	-- Please Select -- Contact me via Email Contact me via Phone
*Denotes required field