If you are a healthcare provider and would like to refer a pediatric patient to Daydreams for dental treatment under anesthesia, please complete the patient referral form below. When you submit this form, an e-mail will automatically be sent to the patient’s parent/guardian with information about scheduling the initial consultation.
![](https://daydreamspc.com/wp-content/uploads/2024/03/Quad-A-Accredited-Facility-300x300.png)