Orange Office: (714) 744-2828

Irvine Office: (949) 551-1000

Dentist Referral


The amazing Hong Orthodontics Team truly pride ourselves in providing the very best care to our patients. We appreciate your confidence in the Hong Orthodontics and you referring your patients to us. For your convenience, our referral form can now be completed and submitted online.

Patient Name(Required)
MM slash DD slash YYYY
Parent/Guardian Name
Please evaluate above named patient for the following: