Our dentist and our team at Rusty Jones, DDS Orthodontics love working with other healthcare providers in the Phoenix, Arizona, area. If you are a dentist who would like to consult with Dr. Jones or would like to refer a patient to us, please complete the form below or call our offices in West Valley, South Phoenix or Surprise.

Doctor Referral Form PDF

The following form is online fillable. However, this currently only works on the chrome browser. Click here to download chrome, or download the form above to print out.