There is nothing on this earth more to
be prized than true friendship.

- Saint Thomas Aquinas

HOME OUR DOCTOR REFER A FRIEND PROCEDURES FAQ'S TERMINOLOGY EMERGENCIES PRODUCTS

Phone

(206) 232-8526

Fax

(206) 232-8527

E-Mail

Click here to email us

Mercer Island Patient Hours

Mon-Fri.....8:30am - 4:30pm

Saturday...Closed

Sunday.....Closed

Burien Patient Hours

Please call for hours

A successful orthodontic practice doesn't just happen. It is the result of a strong commitment to excellence in orthodontics and in our relationships with patients and doctors. We'd like to take a moment to thank you for showing your confidence in our practice by recommending us to your friends, family and colleagues. We're gratified to find how many new patients regularly call on us based on your words of advice.

Refer a friend and receive a $100 Gift Certificate!

If you are a patient of ours, you can recieve a $100 credit/gift certificate by referring a friend to our practice. Simply fill in the form below and press send. Then click the picture on the right to open up a .pdf document and print out your certificate.

Credit/gift certificate will be honored to the giver when orthodontic treatment begins.

Dr David J. Weed - Patient Referral Form

Patient Contact Information:
First Name		Last Name
Phone		Email
Your Referral's Contact Information
First Name		Last Name
Phone		Email
Child		Adult

Dr David J. Weed - Doctor Referral Form

Doctor's Contact Information:
First Name		Last Name
Phone		Email
Your Referral's Contact Information
First Name		Last Name
Phone		Email
Child		Adult
Crowned Teeth	Spaced Teeth	Missing Teeth	Protrusive Teeth
Retrusive Teeth	Crossbite	Openbite	Deep Overbite
Underbite	Overjet	Facial Growth	TMJ Dysfunction
Tooth Alignment Crown and Bridge
Other:

There is nothing on this earth more tobe prized than true friendship.

Refer a friend and receive a $100 Gift Certificate!

Dr David J. Weed - Patient Referral Form

Dr David J. Weed - Doctor Referral Form

There is nothing on this earth more to
be prized than true friendship.