Refer A Patient to Zakhar Orthodontics

We welcome referrals from dentists, pediatric providers, and medical professionals throughout the Lowcountry. Our team coordinates directly with your patient, provides personalized orthodontic care, and keeps your office informed throughout the treatment process.

Our Approach to Collaborative Care

We make referring a patient to Zakhar Orthodontics simple and efficient. Once a referral is submitted, our team coordinates directly with the patient, guides them through the consultation process, and keeps your office informed throughout their care.

01 - Referral Received & Reviewed

Submit a referral using the form below. Our team will contact the patient directly to schedule their free consultation.

02 - Consultation & Treatment Planning

The patient meets with our team for a comprehensive evaluation where we discuss their concerns, review treatment options, and create a personalized treatment plan.

03 - Ongoing Communication

When appropriate, we coordinate with referring providers and keep your office informed throughout the patient’s treatment journey.

Submit a Referral

Please complete the referral form below. Once received, our team will contact the patient directly to discuss the next steps in their care.

"*" indicates required fields

Provider Name*
Practice/Organization Name*

Patient Name*
Reason for Referral*
By submitting this form, you acknowledge that you have read and agree to the Privacy Policy and Terms & Conditions.

Questions About Referring a Patient?

If you’d like to discuss a case, treatment options, or the referral process, we’re happy to help.