Refer a Patient

Partnering With You to Grow Healthy Smiles

At Little Grins Pediatric Dentistry in Glendora, CA, we value the trust that local dentists, pediatricians, and families place in us. Whether you’re a referring doctor or a parent sharing your great experience, your referral helps us continue our mission — to make every child’s dental visit positive, comfortable, and fun.


We’re honored to be your partner in creating healthy, confident smiles across Glendora, Covina, San Dimas, and surrounding communities.

Refer To Little Grins Pediatric Dentistry

Whether you’re a parent, dentist, or healthcare professional, please complete the referrer section below so our team can follow up promptly.

Prefer To Print

Referral Form

For Dental and Medical Professionals

If you’re a general dentist, pediatrician, or healthcare provider, we welcome your referrals for specialized pediatric dental care.


Our team offers:


  • Comprehensive pediatric dental services — including sedation, preventive, and restorative treatments.


  • Collaborative care to ensure seamless communication between our office and yours.


  • Gentle, child-centered treatment in a welcoming environment designed for kids of all ages.


We treat every referred patient with the same compassion, integrity, and excellence you expect for your own patients.


How to Refer a Patient


Please complete our secure online referral form below to refer your patient to Little Grins Pediatric Dentistry.

Once we receive the form, our team will contact the patient’s family to schedule their visit and keep you informed every step of the way.

For Parents

We’re so grateful when parents share their positive experiences with friends and family! If you know someone looking for a gentle, kid-friendly dentist in Glendora, CA, send them our way.


Referring a family is simple — just have them mention your name when booking their first appointment, and we’ll make sure they get the same caring experience your child enjoys at Little Grins Pediatric Dentistry.


Why Families and Doctors Refer to Little Grins


  • Trusted Expertise: Our board-certified pediatric dentists specialize in working with children, including those with special needs.


  • Comfort-Focused Care: From themed rooms to TVs on the ceiling, we make every visit relaxing and fun.


  • Advanced Technology: We use low-radiation X-rays, laser dentistry, and computerized anesthesia for safe, precise care.


  • Compassionate Communication: We keep parents and referring providers informed every step of the way.