If you are a dentist looking to refer a patient to our practice, please download the following Patient Referral form and either mail or fax it to us. Thank you for your referral. We appreciate your recommendation.
Patient Referral Form
These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.
Contact Information
Franklin Square Orthodontics
526 Plum St.
Syracuse, NY 13204
Phone: (315) 471-6790
Fax: (315) 422-2504
E-mail: fsortho@cnymail.com