Referrals - Sahouria Pediatric Dentistry & Orthodontics

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Referralsbrushflosssmileadmin2020-02-11T21:34:11+00:00

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Refer Dr. Jamie Sahouria

Introducing Patient *

Date of Birth

Parent Name *

Parent Phone *

Reason for Referral

Child is in pain

Child is frightened/uncooperative

May need sedation or general anesthesia

Completed cleaning & flouride treatment

X-rays have already, or will be emailed

No x-rays taken

Remarks

Referring Doctor *

Phone

Email

Upload X-ray, Picture, or Digital attachment

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Jamie Sahouria, DDS, MS

Diplomate of the American Board
of Pediatric Dentistry

Friendly & experienced team members
Paperless green office
Latex-free office
Digital X-rays (up to 90% less radiation than traditional x-rays)
State-of –the-art sterilization center
Nitrous oxide (laughing gas), conscious sedation & general anesthesia options
Financing plans available
Handicapped accessibility
Drop-ins and emergency care
24 hour emergency answering service
Kid friendly play rooms with video games & TVs at each dental chair
And much more!

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© Sahouria Pediatric Dentistry & Orthodontics 1303 Medical Center Drive Rohnert Park, CA 94928

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Currently Sahouria Pediatric Dentistry is limited to emergency dental treatment amid the ongoing COVID-19 pandemic. We will be working on rescheduling patients in a timely manner. Thank you for your understanding. Ok