Refer a Patient

Referral Forms

At Up Pediatric Dentistry, we believe every child deserves the opportunity for a bright, healthy smile. That’s why we’re passionate about partnering with other providers to deliver the highest level of care. If you have a patient who could benefit from our expertise, simply fill out the referral form, and we’ll take it from there. Together, we can create healthier, happier smiles for every child!

Smiling woman wearing a patterned light brown hijab and a cream-colored top, with a softly blurred lamp in the background.

Sara Ahmed, DMD

Board Certified Pediatric Dentistry

Smiling woman with long blonde hair wearing a white shirt, standing outdoors on a blurred path surrounded by green trees.

Breanna Bames, DMD, MPH, MDS

Board Certified Pediatric Dentistry

Please evaluate the following teeth:

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