Refer a Patient, We'll Take Great Care of Them

Referring a patient to Dr. Wax Orthodontics is simple. Fill out the form below and we’ll reach out to schedule a free consultation, no pressure, no hassle. They’ll get the same personal, people-first care we’re known for, with flexible scheduling across Linden, Highland, and Flushing.

Submit a Referral

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Sending Office Email*

Patient Name*

Date of Birth*

Patient Email

Patient Phone*

Referring Dentist/Office*

Specific Concerns*

Which location would you like as your primary?*

Our team is all about convenience, so selecting a primary location is just to help us give you the best possible experience. You may visit any and all of our locations. Please mark you preference below.

Linden

Flushing

Highland