Dentist & Doctor Referrals to Houghton Orthodontist Dr. Ward

Doctor / Dentist Referrals

For Dentists and Other Medical Professionals

Dr. Ward and UPWard Ortho is welcoming new patients, and we greatly value your professional referrals and trust.

To refer your patients for comprehensive orthodontic care:

  • Download the printable form, and fax it to us, or
  • Refer your patient with the webform, and our staff will be in touch to gather details.

Thank you!

  • Patient Info

  • Doctor / Dentist Info

  • (please do not include PHI; our staff will be in touch to gather patient/case details)
  • This field is for validation purposes and should be left unchanged.