SAN JOSE OFFICE

408.251.7901

150 N JACKSON AVE, SUITE 211, SAN JOSE, CA 95116

ALMADEN VALLEY OFFICE

6942 ALMANDEN EXPRESS WAY, ALMADEN VALLEY, CA 95120

If you are a dental or orthodontic professional who wishes to refer a patient to see our orthodontist in San Jose or Almaden Valley, California, we invite you to fill out a referral form! You can submit your referral request to Phan Orthodontics online or you can download and print the form to give to us. If you have any questions, please call 408.251.7901 to speak with a member of our team. Dr. Derick Phan is looking forward to meeting and working with your referred patient!

Downloadable/PDF
Referral Form