Call: 503-472-0479
Referring Offices
Patient Login
Braces by Dr. Joe
Menu
Patient Login
About Us
Dr. Joe
Our Team
What Sets Us Apart
New Patients
What to Expect
Smile Gallery
Testimonials
Schedule a Consultation
About Orthodontics
Types of Braces
How Treatment Works
Giving Back
Contact Us
Schedule a Consultation
Patient Name (First and Last)
*
Date of Birth
*
MM slash DD slash YYYY
Parent's Name (if Patient is under 18)
Phone
*
Email
*
How may we help?
How did you hear about us?
Please Select One
Internet
Dentist Referral
Friend or Family Referral
Auction or School Event
Other
Contact me via
*
Email
Phone
Comments
This field is for validation purposes and should be left unchanged.
Patient Login
About Us
Dr. Joe
Our Team
What Sets Us Apart
New Patients
What to Expect
Smile Gallery
Testimonials
Schedule a Consultation
About Orthodontics
Types of Braces
How Treatment Works
Giving Back
Contact Us