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Refer Your Friends

We know you have many choices when it comes to selecting a dental care provider. We value your decision to seek care with us, and to refer your friends and colleagues. To refer someone to our office, please complete our referral form below.

  • An introductory email message will be sent to your friend's email address you have provided

  • We will contact your referral when we receive their response requesting information or an appointment to establish care

Refer Your Patients

If you are a medical or dental practitioner referring a patient to our practice, please complete our Doctor referral form below. Email the completed form with supporting X-rays to schedule@coxmiranda.com.