Refer a Patient

We believe that every child deserves personalized and engaging care. That's why we'd be thrilled to work with you in providing the best care possible for your younger patients. Our team of experts offers comprehensive, age-appropriate treatments tailored to each child's unique needs. If you're ready to refer a patient, just fill out and submit the form below. We look forward to connecting with you soon!
MM slash DD slash YYYY
Parent's Name(Required)
Referral Needs(Required)
Were X-rays taken?(Required)
Preferred Location(Required)
Referring Dr. Name
This field is for validation purposes and should be left unchanged.

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Goleta Location

(805) 456-2866

Patterson Professional Plaza
122 S. Patterson Ave. Suite C-133 
Santa Barbara, CA 93111
Our Front door is under the turret, on the south side of building C
Tues, Thurs, Fridays: 8am-5pm

Lompoc Location

(805) 456-2866

Ocean Avenue Plaza
1111 E. Ocean Ave Suite 4B
Lompoc, CA 93436
Entrance is through the center gates
Wednesdays:  8:30am-4:30pm