Patient Referrals

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

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Contact Information

Franklin Square Orthodontics

526 Plum St.
Syracuse, NY 13204

Phone: (315) 471-6790
Fax: (315) 422-2504
E-mail: fsortho@cnymail.com