Referrals

Patient Portal

Locations

(636) 757-1800

phone icon

Patient Referrals

We welcome the opportunity to partner with you in caring for your patients. Use the secure form below, and our team will provide prompt, compassionate, and expert care—ranging from preventive to restorative, implant, and TMJ treatment.

Family Smile Centers has received an average of

Trusted Partnership, Seamless Care

At Family Smile Centers in St. Charles County, we value the trust you place in us. Our patient referrals and relationships are built on transparency, mutual respect, and excellent clinical outcomes. We’re proud to offer collaborative care across a full range of general, cosmetic, and specialty services—all under one roof. We communicate clearly and return patients to your care with detailed notes and ongoing coordination when appropriate.

Our Commitment to Referred Patients

We treat every referral with the same attention and compassion we’d expect for our own families. Referred patients will receive:

  • Timely follow-up and appointment scheduling
  • Comprehensive evaluation and treatment planning
  • Access to advanced technology, including CBCT and laser dentistry
  • Personalized care tailored to their health goals
  • Follow-up reports sent to your office upon request
Dentist in protective gear holding tools, preparing to treat a smiling patient in a dental clinic.

Patient Referral Form

To refer your patient, please complete the form below. For questions or case-specific information, call us directly at (636) 757-1800. We’re proud to support your practice and help your patients find lasting relief.

This field is for validation purposes and should be left unchanged.

Patient Information

MM slash DD slash YYYY

Referring Doctor's Information

MM slash DD slash YYYY
Would referring doctor like a follow-up correspondence?

What Our Patients Are Saying

Logos of professional dental organizations, indicating clinic affiliations and certifications.
Logos of professional dental organizations, indicating clinic affiliations and certifications.

Helpful Tips & Info

Patient Education Articles

Go to Top