Book Your

Referring Dentists

As an office specializing in children, we accept new patients under the age of 7 with a referral from another provider. 

At this time our referred new patient roster for the month of OCTOBER has filled; we will open scheduling for the month of November on 10/03/2022.  If you feel that your patient needs more emergent care, we strongly encourage you to use other resources available to you or contact our office directly. 

Please be aware of the following:

1. Change takes time, and for most children, it takes several years.  When children are referred to our office with early childhood caries, we will plan to work with the child and family to address both behavioral needs and management of the disease process.  Our goal in approchaing treatment this way is to be consistent with the American Academy of Pediatric Dentistry Policy on Early Childhood Caries.

2. We require that the online form below be completed in order to schedule with our office.  

3. Please send a copy of all applicable images/x-rays to the family of your referred patient to bring with them to their appointment.

4. Once steps 1-3 are completed, families can call to schedule their child.  


Online Referral form - Referral to Fort Wayne Pediatric Dentistry






Back to Top