Referral Form for Providers

We believe that every child deserves excellent dental care tailored to them. That’s why we would love to work with you in providing the best care possible for your referred patients. The Smile Squad team offers comprehensive, age-appropriate treatments suitable for each child’s unique needs. If you’re ready to refer a patient, fill out the form and email it to us at hello@smilesquadchicago.com. We look forward to connecting with you soon!

Click Below to Download Form