Provider Referrals

Referral care for little smiles.

Thank you for trusting Little Teeth Pediatric Dentistry & Orthodontics with pediatric dental referrals. Our team helps make the next step clear for providers, parents, and children.

Online Referral Form

Submit a provider referral online.

Dental and medical offices can send referral details through the secure Microsoft form below. If the embed does not load in your browser, use the button to open it directly.

Open Referral Form

Common Reasons

When to refer

Infant oral care and age-one dental visits
Tongue tie or lip tie evaluation
Dental anxiety or behavior guidance
Sedation dentistry consultation
Pediatric dental emergencies or trauma
Children with special health care needs
Caries risk, cavities, or minimally invasive treatment
Growth, spacing, and early orthodontic concerns

Helpful Details

What to send

Patient and parent or guardian contact information
Reason for referral and urgency
Relevant radiographs, photos, notes, or medical history
Insurance details if available

How We Help

Parent-friendly handoff

Our team explains the next step in clear language, keeps visits calm and age-appropriate, and helps families understand whether the concern needs observation, prevention, treatment, or coordinated care.

Ready When You Are

Make the next visit feel easier before your child even walks in.

Schedule pediatric dental care in Stratford for a first visit, cleaning, cavity concern, tongue tie evaluation, orthodontic growth check, or dental emergency.

Request Appointment Call 203-551-9020