Payne Orthodontics
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Patient referral form

Please complete the fields below. We will follow up directly with the patient to schedule a complimentary exam.

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Why refer to Payne Orthodontics

  • Hygiene Educational Program

    We partner with Oral B and use the Ortho Essentials Hygiene Program. Younger patients receive a new Oral B 5000 electric toothbrush the day braces are placed.

  • Flexible Scheduling

    Complimentary initial examinations for all children and adults, with before-school, after-school and lunchtime availability across Santa Rosa and Windsor.

  • Family Care Program

    Complimentary orthodontic screenings recommended at age 7, with observation monitoring and screening panorex offered to young patients at no charge.

  • On-site Insurance Specialist

    We research individual benefits and file claims, with flexible payment options including CareCredit. Invisalign Preferred Provider.

  • In-House Cone Beam CT

    3D imaging for precise diagnosis and treatment planning using state of the art CBCT technology and digital imaging.

  • iTero Scanner

    Impression-free digital scanning with digital simulated outcomes. No goop, no gagging.

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