Edmond Office | Appointment Request | Refer a Patient | Post-Appointment Survey

Refer a Patient

A successful practice doesn't just happen; it is the result of a strong commitment to excellence in the professional community and in the relationships we build with our patients and colleagues. We appreciate the confidence you've placed in us to provide you with the complete care you need, and we thank you for recommending our practice to your friends and family.

If you are here to refer a patient to our practice, please provide us with the information below. Once you've completed the form, click on the SUBMIT button at the bottom of the page.

Practice Information

Bold Fields are required.

Referral Information

Radiographs Sent?

Our Patients Love Us

“You changed my entire life! I am so thrilled with my smile. The best investment is in your smile, I am to the moon with my results. I will forever recommend to make one of the best choices of their life by starting with that one magical complimentary appointment with the man himself, Dr Keirl.” ~ Heather T. “Kierl Orthodontics is the best. They don't try to oversell you. I've never had to wait more than 5 minutes for my appointment, even if I've come early. Most importantly, they care greatly for their patients, always considering what's best for them.” ~ Linda W. “Aside from the great work that they do, the staff at Kierl Orthodontics are the nicest and happiest people I've met! I can't think of one thing that would make my visits better or more enjoyable!” ~ May C. “Kierl Orthodontics is amazing! They have taken wonderful care of me the past year while having braces and Invisalign. They are perfectionists at their job, which is what I wanted when fixing my teeth. My teeth look perfect and I would (and already have) recommend them.” ~ Merrick F. “Dr. Kierl does great work and always takes the time to explain what's going on in my treatment, and he always checks to make sure I'm OK and that I am happy with how my treatment is going. He is extremely ethical and he really does care about people, which is hard to find nowadays.” ~ Janét J. “I would recommend Dr. Kierl to everyone, no matter the age! My treatment was very short, and I am VERY pleased with the results! I have more confidence with my smile and as a 26-year-old trying to work my way up the corporate ladder, confidence is key! Consultations are FREE! Go make an appointment today!” ~ Jaclyn S.
american dental association member american association of orthodontists invisalign the clear alternative to braces suresmile to be sure

send us
a message