Thank you for your referral!

To Referring Doctors: Please use the online form below to refer a patient to our orthodontists, Dr. Jesse Ko or Dr. Anne Yoon.  If you prefer you can also contact us directly at (925) 272-7868 or email us at info@tri-ortho.com and we’d be happy to mail you some of our paper referral forms and brochures.


Any pending dental treatment?
YesNo


For Referring Doctors: Thank you for your referrals! Our patient coordinator will be contacting the patient shortly. After the consultation is completed, we’ll also be sending you a comprehensive diagnostic letter, records and a cavity clearance form for your approval, prior to the start of any treatment with our practice.

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