Dentist referrals

Dr. Janice Sommerville has years of experience correcting even the most difficult cases with the highest level of care and personalisation. If you have a patient that you think could benefit from orthodontic treatment, please fill out the fields below and a member of our team will get in touch.

Dentist referrals

Dentist's details

Dentist Name*

Dentist Email*

Dentist Phone*

Practice name

Practice Address*

Patient details

Patient First Name*

Patient Last Name*

Patient Email*

Patient Phone*

Patient Date of Birth

Parent or Guardian Name

Patient address

Reason for referral

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Contact Us

We are dedicated to providing top-notch orthodontic care and are here to assist with any inquiries you may have. Reach out to us today.

5 St Marks Road,
Remuera
Auckland 1050

reception@orthodontist.net.nz

Opening Times

Monday - Thurday: 7:30 am - 5:15 pm
Friday: 7:30 am - 12:30 pm

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