Thank You for Trusting Us with Your Referral!

Cabezon Pediatric Dentistry provides comprehensive pediatric dental services for children across New Mexico. We’re proud to accept most insurance.

We partner with providers to ensure infants, children, and teens – especially those with complex cases or special needs, receive high quality care, including general anesthesia or sedation when necessary.

Submit your referral below to get started.
Let’s improve access to care together.

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Health Care Office/Doctor Patient
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Your Full Name*

First Name Last Name
Your Phone*
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Your Email*
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Info for Person You are Referring:
Their Full Name *

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Their Email*
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Their Phone*
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Referral Details / Information*
Doctor or Dentist Name*
Practice Name*
Practice Phone Number*
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Practice Email*
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Patient's Full name*

First Name Last Name
Patient Phone Number*
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Patient Email*
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Preferred Cabezon Pediatric Dentistry Location*
Reason for Referral*

Medicaid PatientIn Office General Anesthesia Routine Dental Care Requires Specialty Care Full Practice Other (please enter comments in additional details box below)
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