If you have a patient you would like to refer to Dr. William Harrell, please fill out the appropriate referral form and submit it to Harrell Orthodontics. If you have any questions about these referral forms or to schedule a consultation with our orthodontist in Alexander City, Alabama, to discuss your case, please contact our team at 256-234-6353.
Referral Form Ortho
C-GASP
Common Signs and Symptoms (Audrey Yoon)
Referral for TMJ
Referral Form TMJ
TMJ Pain Scale
Referral Forms For OSA / Airway Adults
Referral form OSA
EPWORTH
STOP-BANG
Physician’s Written Order for OAT
CPAP INTOLERANCE
Referral Myofunctional Therapist
Referral Form Myofunctional Therapy
Other Referrals
Referral Form (Other)